BR102015012862A2 - method and system for determining an orthodontic diagnostic analysis of a patient - Google Patents

Abstract

method and system for determining an orthodontic diagnostic analysis of a patient. A system and method for determining an orthodontic diagnostic analysis of a patient at various stages of central maturity provides for future conditions and / or treatment recommendations. the system and method locate points in the patient's mouth employing an imaging device, wherein the imaging device generates imaging data. imaging data is transferred to a central processing unit, where the central processing unit has access to a database having information associated with orthodontic conditions stored therein. The central processing unit obtains measurements associated with selected points and patient's mouth dentition and predicts patient orthodontic conditions based on measurements and database information. The central processing unit recommends patient treatments based on anticipated orthodontic conditions.

Description

"METHOD AND SYSTEM FOR DETERMINING AN ORTHODONIC DIAGNOSTIC ANALYSIS OF A PATIENT" BACKGROUND OF THE INVENTION The present invention relates to an orthodontic evaluation of a patient. More specifically, the present invention relates to a system and method for determining an orthodontic diagnostic analysis of a patient at various stages of dental maturity, with predictions of future conditions and / or treatment recommendations. [002] It is generally known to provide dental care to a patient. Typically, the patient may seek care from a professional on an office visit. The professional may be, for example, a dentist, an orthodontist or another type of oral health care provider. The practitioner can examine the patient by employing various techniques. Such techniques may be imaging and / or x-ray examination of the oral area and / or the jaws. After reaching a diagnosis, the practitioner can then provide the patient with an oral device to correct the patient's condition. In addition to the oral appliance, the practitioner can provide the patient with instructions for performing exercises while using the oral appliance. Exercises can cause, for example, teeth to move toward a corrected position and can assist in correcting a malocclusion. [003] Diagnostic decisions can often be made by a single glance at the patient by the practitioner. The professional can estimate what may be present in the patient's dentition. Examination may not require further and / or more detailed study. However, the effectiveness of the exam can seriously impact the future of the patient. For example, the individual deciding the best alternative for a patient may have little understanding of how the future development of various problems may influence a patient's future health outcome. Several analytical procedures, which may be significant, may rarely be used to make a diagnosis for the patient. The patient may finally suffer as a consequence. A typical example might be an arch length analysis. The arch length measurement can accurately predict whether sufficient space can be available to grind compressed and / or rotated teeth. However, the analysis of the arch length can be time consuming for the professional. As a result, some arc length analyzes may provide an inaccurate assessment. Another important consideration of the patient's dental health assessment may be the age of the patient. For example, dental maturity can generally be categorized into five age groups, of which four groups can be segregated according to dental maturity stages. The four stages can be deciduous dentition from about two years old or three years old up to about five and a half years old or six years old. Permanent lower incisors may begin to erupt at about five and a half years of age at six and a half years of age. The period during which adult incisors can begin and end their full eruption can be about seven years old or eight years old and can be called the mixed dentition period when the other permanent teeth such as, for For example, canines, first premolars, second premolars, and permanent second molars may erupt into position. This period can last from eight years old to twelve years old. The next stage of dental maturity may be adult teething, when twenty-eight permanent teeth may be fully erupted and jaw growth may still be active until about eighteen years of age in a woman and about twenty years of age in women. a man. The final stage of dental maturity may be during your adult dentition, after most of the jaw growth can be complete. Although both men and women grow slightly after this period, this minimal growth is not generally important for orthodontic treatment. [005] Most orthodontics can be performed during the last mixed stage and the first adult dentition from about eleven years to thirteen years old. Some orthodontics may be performed during mixed dentition after the upper and lower permanent incisors may be erupted. Orthodontics are infrequently used before or during eruption of adult incisors. Performing orthodontics during the transitional eruption period may have the advantage that teeth can be aligned before collagenous fibers can be formed. Orthodontics may minimize recurring trends and may decrease the extent of treatment to about twenty percent of the average time taken for fixed orthodontics for patients from eleven to thirteen years of age. Treatment with fixed and / or removable braces during the transitional period in patients from six years of age to eight years and earlier in patients from two years of age to six years of age may be beneficial in treatment of malocclusion. The early period with patients from two years old to six years old may be recommended for disordered sleep-disordered breathing. Treatment may advance the jaw and tongue or it may prevent the lower jaw from shifting later while sleeping. Treatment can teach the patient to breathe through the nose rather than the mouth, which can correct snoring and may improve behavioral symptoms caused by breathing problems. [007] Child patients, who may have a prominent jaw, may be helped at a young age by treatment to take slow adverse changes that may occur during the growing years. Other types of correction that may improve breathing may require improving abnormal swallowing, correcting anterior open bites, correcting a narrowed jaw, and improving speech problems.

Such early problems can have significant effects on the patient's future health and well-being. In general, dentistry, oral surgery, maxillofacial surgery and / or orthodontics and malocclusions may be evaluated clinically or radiographically using cephalometric. Such a common condition of malocclusion may be overbite, wherein the patient's upper teeth and / or lower teeth do not align properly. Cephalometric analysis may be the most accurate way to determine the types of malocclusions, as such analysis may include skeletal body assessments, occlusal plane angulation, facial height, soft tissue assessment, and anterior dental angulation. Various calculations and evaluations of information on a cephalometric radiograph may allow the clinician to objectively determine dental and / or skeletal relationships and determine a correction plan. If a non-surgical alternative can produce results comparable to those that can be surgically achieved, then the practitioner may consider and / or suggest such a non-surgical approach to the patient. In some cases, a non-surgical approach may be the preferred choice of practitioner and / or patient. For example, facial growth modification may be an effective method of resolving skeletal Class III jaw discrepancies in children and growth. Orthopedic dentofacial braces may be used. Orthognathic surgery in conjunction with orthodontic care may be required for the correction of malocclusions in an adult patient. Therefore, there is a need for a system and method for determining an orthodontic diagnostic analysis of a patient at various stages of dental maturity, with predictions of future conditions and / or treatment recommendations. There is also a need for a system and method that can employ a computer to determine an orthodontic diagnostic analysis of a patient at various stages of dental maturity, with predictions of future conditions and / or treatment recommendations. There is also a need for a system and method for determining an orthodontic diagnostic analysis of a patient at various stages of dental maturity, with anticipation of future conditions and / or treatment recommendations, which may use an oral appliance.

SUMMARY OF THE INVENTION The present invention relates to an orthodontic evaluation of a patient. More specifically, the present invention relates to a system and method for determining an orthodontic diagnostic analysis of a patient at various stages of dental maturity, with predictions of future conditions and / or treatment recommendations. To this end, in one embodiment of the present invention, a system is provided. The system has an imaging component configured to locate reference points and generate reference point imaging data. A central processing unit has access to a database with information associated with orthodontic conditions. The central processing unit receives the imaging data from the imaging component and generates measurements associated with landmarks and dentition in the patient's mouth. The central processing unit predicts patient orthodontic conditions based on measurements and database information and recommends patient treatments based on predicted orthodontic conditions. In another embodiment of the present invention, a method is provided. Diagnostic programs are provided associated with characteristics of a patient's developing dentition. An initial patient assessment is performed, corresponding to the patient's developing dentition. Initial assessment utilizes an imaging device to locate points in the patient's mouth and generate imaging data. Imaging data is transferred to a central processing unit, which contains measurements associated with selected points of the patient's mouth and predicts future patient orthodontic conditions based on the measurements. A report of the initial assessment findings is provided to the patient with treatment recommendations based on the findings. In yet another embodiment of the present invention, another method is provided. The points of the patient's mouth are located with an imaging device. The imaging device locates the dots and generates dot imaging data within the mouth. Imaging data is transferred to a central processing unit, which has access to a database having information associated with orthodontic conditions. The central processing unit generates measurements associated with selected points and dentition within the patient's mouth using imaging data. The central processing unit predicts the patient's orthodontic conditions based on measurements and database information. Treatments are recommended for the patient based on predicted orthodontic conditions, which are based on imaging data and database information. Details and advantages of the present invention are described in and will be apparent from the detailed description of the presently preferred embodiments and the drawings.

BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 illustrates a block diagram of an embodiment of a system according to the present invention. Fig. 2 illustrates a flowchart of an embodiment of a method according to the present invention. Fig. 3 illustrates a schematic diagram of a teething chart of an embodiment of the present invention. Fig. 4 illustrates a schematic diagram of another teething graph of an embodiment of the present invention. Fig. 5 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 6 illustrates a graph for use and an embodiment of a method according to the present invention. Fig. 7 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 8 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 9 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 10 illustrates a graph for use and an embodiment of a method according to the present invention. Fig. 11 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 12 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 13 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 14 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 15 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 16 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 17 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 18 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 19 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 20 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 21 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 22 illustrates a graph for use in an embodiment of a method according to the present invention. Fig. 23 illustrates a graph for use in an embodiment of a method according to the present invention.

DETAILED DESCRIPTION OF THE PRESENT PREFERRED EMBODIMENTS [0040] The present invention relates to an orthodontic evaluation of a patient.  More specifically, the present invention relates to a system and method for determining an orthondotic diagnostic analysis of a patient at various stages of dental maturity, with predictions of future conditions and / or treatment recommendations.  With reference to the drawings and which equal numerals represent equal parts, Fig.  1 illustrates a system 10 of an embodiment of the present invention.  System 10 can be used to diagnose the orthodontic needs and requirements of the patient.  System 10 may be useful in assisting orthodontic practitioners.  System 10 may also permit a diagnosis of the dentition and / or condition of the patient.  System 10 can provide instructions to the user.  In one embodiment, system 10 may use a computer to perform certain parts of the assessment.  For example, U. S.  At the.  6 582. 225, entitled "Dental diagnosis and dispensing apparatus and system and method for providing same", issued June 24, 2003, and U. S.  At the.  5 882. 192, entitled "Computed Orthodontic Diagnosis and Appliance Dispenser", issued March 16, 1999, describes the use of a computer in a dental diagnosis.  The Applicant of the present application is common to each reference and hereby incorporates by reference each of these patents in their entirety in this description.  System 10 may have multiple components, for example, system 10 may have a central processing unit 20 (hereinafter referred to as a "CPU").  The CPU 20 may be a microprocessor, a computer and / or the like.  CPU 20 can evaluate the data transmitted to CPU 20 by system components 10.  In addition, CPU 20 can control system components 10.  The CPU 20 may be programmed by one skilled in the art to evaluate data and control system components 10.  In addition, systems 10 may have a data entry component 25 (hereinafter referred to as a "DEC").  DEC 25 may have a user interface 30 (hereinafter referred to as a “UI”).  UI 30 may allow the user to enter information to be processed by CPU 20 before, during and / or after examination by system 10.  Such information may be given related to the patient, such as, for example, age, race, gender and / or the like.  UI 30 may be a keyboard, for example, or any other means for entering characters, data and / or information to be processed by CPU 20.  The UI 30 may have a plurality of letter and / or numbered input keyboards for manual data entry and / or may be a touch screen or other suitable device.  In addition, UI 30 may have a microphone to allow the user to enter data and / or voice commands.  A person having ordinary skill in the art may recognize several other alternatives to UI 30 within the scope of the present invention.  This description is not intended to be limited to the examples given.  System 10 may also have a monitor 35, which may allow the user to view user-entered information within DEC 25.  Monitor 30 can provide high resolution images to the user.  The monitor 35 may be a plasma monitor, an LED monitor or an LCD monitor.  Monitor 35 can relay system information 10 to the user.  In addition, monitor 35 may display user instructions regarding proper use of system 10.  For example, instructions may be required to complete an exam step before proceeding to the next exam step.  The summary can ensure that examinations are complete and / or performed in a standardized manner.  Successive exams may be repeated at a later date and may be compared to previous exams.  As a result, data from previous exams can be compared in direct relation to data collected in a later exam, conducted in the same manner.  System 10 may also have an imaging component 40 (hereinafter referred to as "IC").  The IC 40 may obtain images of a portion of the interior of a mouth and / or the exterior of a patient's face.  The IC 40 can obtain images, whether digital, static, video or similar, through a camera or any other imaging device known to those skilled in the art.  Images from IC 40 can be transferred to CPU 20 for evaluation.  System 10 may also have a rod 45, which may be used in conjunction with the IC 40.  Rod 45 may have multiple capacities.  For example, stick 45 may be able to obtain high resolution images of the interior of the patient's mouth.  The patient's dentition can be visually captured by the rod 45.  The oral cavity can be fully imaged by the stick 45.  The rod45 can take dentition images and can transmit the images to the CPU 20.  During the initial examination, patient identification can be scanned by stick 45, which can be passed around the patient's mouth.  Rod 45 can pass over the buccal, labial, occlusal, and lingual surfaces of the teeth, as well as the gum lines.  Rod 45 may also pass over the patient with teeth closed.  Patient teething images can be recorded on the monitor 35.  Any aspect of the dentition can be viewed from any angle.  Rod 45 may be used to obtain a view and profile of the face and / or a front view of the patient's face.  Rod 45 may be used to obtain a wide open view for joint analysis and / or a high smile view.  Imaging of the dentition using stick 45 may be noninvasive and may take about two minutes to five minutes.  Rod 45 may provide a one-to-one image of the patient's dentition.  Rod 45 may also obtain images of the patient's biting surfaces.  In addition, stick 45 can obtain images of the exterior of the patient's mouth.  Rod 45 can transmit the images to CPU 20.  The CPU 20 can process the dentition images to create a virtual model of the interior of the patient's mouth.  The virtual model can be displayed on monitor 35.  The CPU 20 can process images of the biting surfaces and the exterior of the patient's mouth to create more virtual patient models.  The CPU 20 can combine teething images and biting surface images with the exterior of the patient's mouth to augment virtual models and / or provide more detail.  In addition, system 10 can locate reference marks within the patient's mouth.  For example, system 10 may use stick 45 in cooperation with CPU 20 and may locate reference marks within the patient's mouth.  Rod 45 can transmit measurements of certain reference marks to CPU 20.  In one embodiment, system 10 may locate approximately fifty individual reference marks, most of which may be on the patient's dentition and a portion of the reference marks may be on the patient's face.  Reference marks may include upper anterior tooth widths and lower anterior tooth widths.  The teeth may be deciduous or permanent.  Reference marks may indicate anterior available space and / or posterior available space for the upper and / or lower arch teeth.  Reference marks may indicate vertical overbite and / or open bite, horizontal overlap and / or mandibular protrusion, clear pathway and maximum jaw opening.  In addition, reference marks may indicate estimates of tooth widths of unbroken teeth and / or erupted permanent teeth.  Estimates can be calculated using various multiplication factors and a mesial-distal width of a lower permanent central incisor.  The mandibular permanent central incisor may be highly correlated with the sizes of the other permanent teeth of the mouth, either erupted or unerupted.  As a result, a space required for sizes of several permanent teeth, which may be erupting within the mouth although the eruption may be determined.  Thus, an assessment of future crowding can also be done.  System 10 can also determine the curvature of the lower arch and upper arch of the canine-to-canine arch width by employing a multiplication factor.  The CPU 20 may measure along a line of arch curvature along with apparent broken contacts and / or broken contacts hidden under the tissues to obtain a reading of the arch curvature.  Arch curvature can be used to estimate position and dimensions regardless of severity and malposition, particularly of the maxillary incisors in a case of excessively incisive protrusion.  Estimates of broken contacts and / or rotations may allow CPU 20 to predict crowding.  By the various reference marks, free path space and a maximum mandibular opening can be obtained.  Gingival recession, if present, can also be achieved.  The color of gingival tissue can be observed.  The color may be normal or red, which may indicate a periodontal problem for the patient.  Using reference marks and / or spacing as well as arch length analysis data of the incisal or anterior part of the upper and lower arches and the posterior upper and lower segments of the arch, the degree of crowding can be determined.  Also reference marks may indicate whether sufficient space may be available for crowding correction or whether additional devices such as shock absorbers, headgears, expansion appliances and / or total fixed orthodontics may be required to achieve a successful result.  CPU 20 may also indicate the expected success of retention and / or the amount of recurrence that may occur in the future.  The CPU 20 can access information in a database 55 to base predictions on treatment outcome statistical data with various appliances used for correction.  In addition, the CPU 20 may utilize reference marks by processing reference mark and / or dentition measurements to make calculations to predict future dentition sizing and / or oral conditions within the patient's mouth.  For example, CPU 20 may use measurements and / or reference marks to estimate the degree of enlargement or reduction required for a diagnosis in terms of calculating the appropriate size of a tooth and / or the patient's teeth.  In addition, the CPU 20 can perform arcade length analysis as a way in which the procedure can be accurately replicated.  Doing so may be helpful in successfully treating the patient.  Repeating this treatment after a few months of treatment can precisely determine if the patient may be making sufficient progress through treatment.  In addition, the user can enter information in DEC 25 UI 30.  UI 30 can transmit the data to CPU 20.  System 10 may transmit data and / or instructions to monitor 35 for communicating with system user 10.  After the required information can be provided by the user, the CPU 20 may transmit information to the rod 45 and / or the IC 40 to obtain various digital images of the patient's mouth and teeth.  If necessary, the CPU 20 may regularly ask questions and / or may instruct the user how to acquire the appropriate video images.  Communication can be accomplished using the DEC 25 monitor 35 and / or UI 30.  The images, measurements and / or reference marks of the IC 40 can be obtained from stick 45 and can be processed by CPU 20.  Information otherwise gathered by system 10 may be processed by CPU 20.  The CPU 20 may have a data output component 50 (hereinafter referred to as "DOC").  Information, images, measurements and / or reference marks may be transmitted electronically or otherwise by DOC 50.  DOC 50 may transmit images and / or data to another location, for example, via the internet, electronic mail or other means, for evaluation by another system or individual, such as a physician, dentist, orthodontist or the like.  DOC 50 may be implemented by a person skilled in the art, so that DOC 50 may transmit images and / or data, for example, over the internet, telephony, satellite or other means.  In addition, DOC 50 can generate a document for the patient.  In one embodiment, IC 40 and / or rod 45 may transmit digital and / or analog signals, which may represent images of the patient's mouth and / or dentition, to the CPU 20.  The CPU 20 may perform calculations and / or image based diagnostics, pre-programmed information and / or any other user inputable information.  After the diagnosis can be completed, the CPU 20 can instruct the patient about treatment for specific orthodotic conditions.  In one embodiment, database 55 may be connected to CPU 20 of system 10.  Database 55 can store information regarding medical, orthodontic and / or dental conditions, growth charts, multiplication factors for estimates, standardized measurements and / or the like.  For example, dentition sizes for patients of various age groups can be stored in database 55.  Database 55 may store information associated with the severity of a medical, orthodontic and / or dental condition.  For example, severity can be identified in one of three categories: minimal, moderate, or severe.  Database 55 connected to CPU 20 of system 10 may store information such as medical, orthodontic and / or dental standards regarding the degree of an overbite, for example.  The CPU 20 can determine if the overbite can be minimal, moderate or severe, based on images obtained from stick 45 and / or IC 40.  To this end, bands may be established for all three categories.  Patient information and IC 40 images can be analyzed by software installed on CPU 10 to determine which category the patient can be classified into.  For example, an overbite, which may be more than a minimum amount, may be treatable by a corrective dental appliance.  Therefore, if CPU 20 can determine that the patient overbite may be greater than a minimum value, a corrective dental brace may be recommended for the patient.  However, if CPU 20 may determine that the degree of overbite is a maximum value and / or may further determine that the patient's age may be greater than fifteen years, system 10 CPU 20 may deny the patient a diagnosis and / or a dental braces.  In addition, CPU 20 can access database 55 for information associated with various device sizes indicated for various problems for patients of different ages.  For example, a Nite-Guide® device (a registered trademark of Ortho-Tain, Inc. ) can be provided in eleven sizes for patients from five years of age to seven years of age or younger.  An Occlus-o-Guide® appliance (a trademark of Ortho-Tain, Inc. ) can be supplied in thirteen sizes for patients from eight years to twelve years.  Also an Ortho-T® appliance (a registered trademark of Ortho-Tain, Inc. ) can be supplied in thirteen sizes, for patients twelve years and older.  In addition, several premolded positioners of different types and / or sizes can be stored in database 55.  Devices and / or positioners can be stored in the database as scanned images.  System 10 can fit the scanned images of the device over a digital model of a patient's dentition.  The practitioner can see through the device's transparent scanned image to see if the selected location and / or type of device can fit the specific patient.  Thus, the system can virtually place a pre-molded device over the patient's dentition to see if the device can fit without testing the actual device in the patient's mouth.  By employing system 10 to test the fit of the apparatus over the patient's digitized dentition, the need to sterilize the actual apparatus prior to actually testing the apparatus in the patient's mouth can be eliminated.  Any size of the scanned image of the machine can be tested for proper fit.  Therefore, keeping a full inventory of device sizes may not be accurate.  Fig.  2 illustrates a flowchart of a method 100 in one embodiment of the present invention.  Embodiments of the present invention describe method 100 for assessing, diagnosing and / or reporting orthodontic conditions of a patient.  The patient's orthodontic conditions may depend on the patient's age, as the patient's dentition may change and / or may mature within certain age ranges.  Therefore, system 10 and / or method 100 may be adapted to the age of the patient.  To this end, method 100 may have an initial assessment.  Method 100 may have a step 105 in which the initial assessment may be performed on the patient.  The initial assessment may be adapted to the age of the patient.  As shown in Fig.  2, step 110 illustrates Program A, which may be designed for children and / or patients ranging in age from two and a half years old or three years old to five years old or six years old.  Program A can be configured to relate to the dentition and / or oral development of patients in this age group.  In particular, patients of this age range may experience premature deciduous teething eruption.  Thus, Program A may correlate the patient's initial assessment and / or any other exams with the patient's specific age.  Correlated initial assessment may focus on initial assessment on the patient's current state of development.  Certain evaluations may not be appropriate for the Program A age range.  However, other assessments may be critical in the patient's current state of development.  To this end, Program A can be carried out as follows.  In addition, step 120 illustrates Program B, which can be designed for children and / or patients ranging in age from five years to seven years old.  Program B can be configured to relate to the dentition and / or oral development of patients in this age group.  In particular, patients in this age range may have transitional teething.  Thus, Program B may correlate the patient's initial assessment and / or any other tests with the patient's specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain evaluations may not be appropriate for the Program B age group. However, other evaluations may be critical in the patient's current state of development.  To this end, Program B may be carried out as follows.  In addition, step 130 illustrates Program C, which can be designed for children and / or patients ranging in age from eight years to twelve years.  Program C can be configured to relate to teething and / or oral development of patients in this age range.  In particular, patients in this age range may have mixed dentition.  Thus, Program C may correlate the patient's initial assessment and / or any other exams with the patient's specific age.  The correlative initial assessment may focus on the initial assessment of the patient's current state of development.  Certain evaluations may not be appropriate for the Program C age group.  However, other assessments may be critical in the patient's current state of development.  To this end, Program C may be carried out as follows.  The step 140 of Fig.  2 illustrates Program D, which can be designed for children and / or patients ranging in age from twelve to eighteen.  Program D can be configured to relate to the dentition and / or oral development of patients in this range.  In particular, patients of this age range may have premature permanent dentition.  Thus, Program D may correlate the patient's initial assessment and / or any other exams with the patient's specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain evaluations may not be appropriate for the Program D age range.  However, other assessments may be critical in the patient's current state of development.  To this end, Program D may be carried out as follows.  The step 150 of Fig.  2 illustrates Program E, which can be designed for children and / or patients ranging in age from eighteen to adulthood.  Program E can be configured to relate to the dentition and / or oral development of patients in this range.  In particular, patients in this age range may have mature and / or late permanent dentition.  Thus, Program E may correlate with the patient's initial assessment and / or any other tests with the patient's specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain reviews may not be suitable for the Program E age range.  However, other evaluations may be critical in the patient's current state of development.  To this end, Program E may be carried out as follows.  Therefore, system 10 and / or method 100 may be described herein with respect to the defined patient age ranges.  As shown in Fig.  2, step 110 illustrates Program A of method 100.  System 10 and / or method 100 may be adapted for children and / or patients which may range from two and a half or three years old to five years old or six years old.  Patients in this age group may experience early deciduous teething eruption.  System 10 and / or method 100 may have the initial assessment and / or a total record assessment.  As shown in Fig.  2, method 100 may have step 115.  Step 115 may be the evaluation of total patient records that may be within the age range for Program A.  In one embodiment, a practitioner, such as a dental, orthodontic or dental professional, assistant or hygienist, for example (hereinafter referred to as "the practitioner"), may perform the initial assessment on the patient.  After the initial assessment, system 10 and / or method 100 may generate a preliminary and / or initial diagnosis based on certain patient defining characteristics.  System 10 and / or method 100 may provide such a diagnosis prior to evaluation of the total records.  For example, in one embodiment, Program A may have seven initial determination characteristics, which may be assessed by the trader.  The characteristics may be as follows: 1.  Any sleep problems (snoring, attention deficit, daytime sleepiness, morning headaches, etc.) ) 2.  Any significant speech problems 3.  mandibular retrusions 4.  Temporomandibular Joint (“TMJ”) Problems 5.  Habits such as mouth breathing problems, finger sucking, swallowing.  6  Swollen tonsils or adenoids 7.  End-to-end jaw relationship or prognostic relationship, for example, advanced jaw positioning.  Thus, system 10 and / or method 100 can generate the preliminary and / or initial diagnosis, based on the seven determining factors, listed without further examination and / or diagnosis of total record evaluation.  System 10 and / or method 100 can make a decision on the seven determining factors.  As a result, system 10 and / or method 100 may provide evaluation and / or diagnosis for treatment recommendations prior to full evaluation of the records.  Also the practitioner can evaluate various other factors and / or problems of the patient.  For example, the practitioner can assess if the patient may have any problems sleeping.  In particular, the assessment may determine the following: 1.  Does the patient have hyperactivity, attention deficit disorder (ADD) and / or sleepy appearance? 2.  Does the patient have excessive overlap and / or a class II ratio above three mm? 3  Does the patient breathe through the mouth, have a narrow palate and / or have finger-sucking habits? 4  Does the patient have swollen tonsils? In the event of a positive answer to any of the four questions, the provider may provide a sleep disordered breathing questionnaire to the patient's parent for further details of the patient's sleeping habits.  A positive response to multiple sleep disordered breathing questionnaire items may indicate that a recommendation for further recordings and / or possible treatment may be required.  Also system 10 CPU 20 can access information in database 55, which may contain data associated with disordered breathing in sleep.  For example, the information may have data arranged in the following categories: symptom, acceptable normal amount, incidence, risk of problem at twelve years of age, resulting problems around twelve years of age and / or treatment recommendations.  In one embodiment, Program A may be used to diagnose and / or treat sleep problems in children.  For example, Fig.  11 summarizes the most common behavioral symptoms, along with snoring and mouth breathing.  The database information 55, as shown in Fig.  11 may have symptom-related data with associated acceptable amounts and incidence of occurrence.  In addition, information may have data that may relate symptoms to the likelihood of associated risks and / or problems resulting from the particular symptom.  Finally, the information may have treatment recommendations for symptoms.  Data from database 55 may be used to prepare preliminary and / or initial assessment and / or diagnosis.  The practitioner can also determine if the patient may have any speech problems.  For example, the practitioner may ask if the patient may be difficult to understand, may eat consonants and / or may have a lump.  If so, a speech questionnaire can be provided for the patient's parent to obtain more details of the patient's speech habits.  The practitioner can also determine if the patient may have any other problems, such as an open bite and / or tongue thrusting problems.  System 10 and / or method 100 may recommend further analysis in the event of a positive response to any of the valuation items.  System 10 and / or method 100 may generate a document with findings and / or explanations of the importance and / or requirements of further analysis for the patient.  The document may be generated in an electronic format and / or a hard copy format.  The document may be given to the patient's parent.  The provider may provide additional information to the patient's parent if required and / or desired.  However, the document may provide the patient's parent with preliminary and / or initial assessment and / or diagnosis for the patient.  The document may summarize the problems discovered and / or present with the patient.  An assessment and / or description of the seven elements of the initial determination characteristics may be provided in the document.  The document may list any of the problems the patient may have and any associated treatment recommendations.  The document can also predict whether future treatment can be warranted for the problems the patient may have.  The document may explain the problems related to sleep disorders that cause certain symptoms.  For example, lack of oxygen in the blood because of airway restriction can result in high blood pressure and other serious heart problems.  In one embodiment, system 10 and / or method 100 may measure various other conditions.  For example, mandibular retrusions can be measured by identifying a reference mark on the upper central incisal edge and measuring the distance parallel to the posterior occlusal plane to contact with the lower central incisor.  Mandibular retrusions, adenoid size and / or anteroposterior width of the nasopharynx and oropharynx can be determined during the total evaluation of the recordings, which may use a cephalometric x-ray film and / or a 3D film.  In one embodiment, system 10 and / or method 100 may measure patient overlap and may predict overlap around 12 years of age.  System 10 and / or method 100 may provide treatment recommendations.  System 10 and / or method 100 can obtain recommendations for particular overlap severities that can be determined by comparison with the standards.  For example, treatment for any overlap of three mm or more may be recommended in the primary dentition if the patient has sleep problems.  Treatment for any overlap above 4 mm may be recommended to prevent potential sleep problems from developing in the patient.  Fig.  12 illustrates the overlap that can be corrected, particularly if sleep problems are suspected in the patient.  Overlap can cause problems for the patient when associated with sleep problems.  However, the overlap can be corrected at this age.  In one embodiment, the document may contain data related to particular overlap measurements and specific treatment recommendations.  For example, the paper may say that a four rum overlap has a strong risk of being associated with airway constriction and can be corrected at this age.  TMJ problems can be a problem in young children and treatment may be important if present.  The provider can examine the patient for TMJ problems, for example by performing a physical exam and / or asking a series of questions associated with TMJ.  TMJ symptoms can be verified on initial examination and can be verified during the full evaluation of the records.  The practitioner may also inquire about certain habits the patient may have.  For example, such habits may be problems with swallowing, mouth breathing, thumb sucking and / or finger sucking and / or the like.  Also habits and / or speech problems can be determined.  The speech questionnaire can be provided to the patient's parent for further details of the patient's speech habits.  The practitioner can investigate whether the patient can snore and, if so, the frequency of snoring.  For example, if the patient may snore frequently and / or habitually, the provider may examine the patient to determine if the adenoids and / or tonsils may be swollen.  If the adenoids and / or tonsils are very dilated or if the patient has difficult nasal breathing, the patient may be referred to a pediatrician or an ear, nose and throat specialist (“ENT”).  The practitioner may also investigate whether the patient can breathe easily through the nose, may have difficulty with nasal breathing or may not be able to breathe through the nose.  Other observations may be whether the patient may have a retrognathic jaw and / or excessive overlap.  Another observation may be if the patient only snores when on his back or snores in any position.  Sleep disordered breathing questionnaire may indicate that the patient may have labored, difficult and / or loud breathing at night, may have snoring interrupted when breathing stops for two seconds to four seconds, and / or may have stopped breath more than twice in an hour.  In these situations, the provider may refer the patient to a pediatrician and / or a sleep specialist.  The practitioner may initially diagnose end-to-end jaw relationships and a prognostic jaw and may recommend correction to help control any progression.  Further confirmation can be made with a lateral cephalometric x-ray film or 3D film in the total evaluation of the records.  Several measurements can be made to confirm and estimate the severity of the problem.  In one embodiment, the initial assessment and diagnosis may be sufficiently complete to recommend further recordings, imaging and / or treatment recommendations.  The document may be provided for the patient's parent.  The document may summarize the initial treatment recommendations and may contain findings data.  The document may describe the time and fees of the treatment.  The document may also have images of other similar cases of twelve-year-old idage patients, for example as a result of non-treatment.  In one embodiment, system 10 and / or method 100 may also encompass the full evaluation of Program A records, as shown in step 115 of Fig.  2.  As part of the full assessment of the records, the practitioner can obtain x-rays from the patient.  For example, x-rays may contain a patient digital panoramic x-ray film, a lateral digital cephalometric x-ray film and / or a 3-D x-ray film.  3D x-ray film may be preferred since the details may be clearer to see in such x-ray.  The evaluation image of the total record evaluation may contain intraoral and / or facial photographs.  The practitioner may perform an oral examination of the patient as part of the evaluation of the records.  The provider may review the completed sleep disordered breathing questionnaire and / or the speech questionnaire.  If the sleep disordered breathing questionnaire can indicate that the patient may have labored, difficult and high breathing at night, he may have snoring interrupted when breathing stops for two seconds to four seconds and / or may have stopped breathing for more than two Sometimes within one hour, the provider may refer the patient to a pediatrician and / or a sleep specialist.  In addition, the patient may require an evening study at home to check for possible apnea or hypopnea.  The nightly home study may indicate that the patient may have sleep apnea in which breathing may cease for four seconds or more and may occur more than twice per hour.  Night study at home may indicate that the patient may have hypopnea where he may have labored breathing.  Such positive indications may require a recommendation for a sleep specialist.  Positive responses to seven or more sleep disordered breath questionnaire items may indicate that the patient may have sleep disordered breathing, which may warrant correction.  Treatment may depend on other symptoms the patient may have, such as mouth breathing, habitual or periodical snoring, narrow palate, retrognathic jaw and / or the like.  [0097] The practitioner can check if the patient may be able to breathe through his or her nose during the full evaluation of the records.  If not, the professional can check if the palate can be narrow.  The palate can be compared to a normal value.  If the palate may be an abnormal value, it may require enlargement.  If the palate can be of normal width, the provider may refer the patient to a pediatrician to check for deviated septum and / or swollen adenoids and / or tonsils.  Evaluation of total records may require another TMJ examination to observe clicking, a deviated opening, a maximum opening, pain, a hard opening and / or difficult chewing that may have been observed on initial examination.  If any of these problems exist except limited opening, the patient may be treated.  If the patient may have limited opening, the provider may refer you to a TMJ specialist.  Information about TMJ may have been given after the initial examination.  The practitioner may consider the patient's habits as part of the overall assessment of the records.  For example, if the child sucks his thumb and / or fingers during the day, the problem may be serious.  Typically, the patient may reduce the habit of sucking after starting school.  If thumb and / or finger sucking may be causing an open bite in a five-year-old patient, the open bite may be corrected, particularly if the patient breathes through the mouth during the day.  Other habits that may cause the palate to be narrow, such as swallowing problems, tongue thrusting and / or sucking habits, can be corrected to prevent the habit from affecting the palate width.  The practitioner may review any speech problems by the speech questionnaire indicating that a sleeping problem may exist.  The provider may question the patient's parent in detail about sleep problems, particularly snoring, hyperactivity, attention deficit, daytime sleepiness, and mouth breathing.  Such problems may be the five most important symptoms.  [00101] The practitioner may analyze the panoramic film and / or the 3D film, if available, as part of the overall evaluation of the records.  Panoramic film and / or 3D film can be analyzed by system 10 and / or method 100.  For example, CPU 20 may analyze the panoramic film and / or 3-D film to ensure that all unbroken teeth may be present.  The practitioner may also perform this review.  If any permanent teeth are missing, missing teeth can be plotted.  For example, Fig.  1 illustrates a teething graph 200.  The teething chart 200 may have placeholders such as boxes, for example, to represent the mouth teething.  The relative placement of the dentition can be arranged on the dentition graph 200.  The erupted teeth can be indicated on the teething graph 200.  The practitioner can physically examine unbroken teeth using system 10 to ensure that unbroken teeth can be in their proper positions to erupt in the arch.  The trader can graph the dentition 200.  Any teeth not erupting in their appropriate positions can also be represented on the dentition graph 200.  The provider can determine if any extra teeth exist and / or if the extra teeth may require removal now and / or in the future.  The practitioner may also examine the patient for any other observable problems present, such as cysts, tumors, abscesses, bone problems and / or the like.  The practitioner may also analyze cephalometric x-ray and / or 3D film during the full evaluation of the records.  The provider may use system 10 and / or method 100 to make three nasopharyngeal measurements.  Certain anatomical parts can be located and measured.  For example, a measurement of a narrow distance from the uvula to the posterior pharyngeal wall can be made.  The thickness of the uvula can be measured.  A measurement from the tip of the uvula to the posterior pharyngeal wall can be made.  A measurement of the oropharynx from the base of the tongue to the posterior pharyngeal wall can also be made.  Measurements can be made to determine if quantities can be normal or abnormal.  If any nasopharyngeal measurements are abnormal, the provider may check for potential causes such as if the adenoids and / or tonsils may be swollen.  Any swollen amides and / or adenoids may be referred to the pediatrician for possible removal if the patient is considered to have a breathing problem.  If any nasopharyngeal measurements are abnormal, the practitioner can check for potential causes such as whether the upper arch may be narrow.  The system 10 can measure area dimensions across the canines, the first deciduous molar, the second deciduous molar and / or the first permanent molars.  The CPU 20 may determine by database information 55 whether the measurements may be normal or abnormal and may also provide treatment recommendations.  The practitioner can further analyze the cephalometric x-ray and / or the 3-D film during the full evaluation of the records.  The practitioner may use system 10 to make retrognathic position measurements of the jaw and jaw.  The trader can locate various reference marks using system 10 such as, for example, Ba, A, B, N, Gn, Po, Me points, upper and lower incisor tip, Co, ANS, PNS, Go .  System 10 can measure the following linear distances: Ba-A, Ba-B, ANB, Overlap, Co-Gn, N-Me, Ba-PNS, and ANS-Me.  CPU 20 can compare linear distances with normal and abnormal measurements.  To this end, CPU 20 can access information from database 55.  If overlap, ANB, Bo-A and Ba-B are abnormal, the provider may make a recommendation for treatment if the patient is suspected of having sleep problems.  If any nasopharyngeal measurements are abnormal, the practitioner can check for potential causes such as an open bite.  System 20 can measure any evidence of an open bite.  If the open bite is accompanied by a sucking habit, treatment may be strongly recommended.  In addition, system 10 can measure an end-to-end jaw relationship and any Class III trend.  If either exists, treatment may be strongly recommended, particularly if a skeletal Class III is less than three mm.  Finally, CPU 20 can identify a tip of the two lower deciduous canines and can multiply this distance by a factor of 0.926 to obtain the curvature of the available incisal space arcade.  System 10 and / or method 100 may also measure curvature along the incisal edges of the four lower deciduous incisors to also obtain available space.  Upper dentition can be assessed in the same way.  CPU 20 may access database 55 to determine the size of a device that may be recommended for use.  The total record evaluation shown in step 115 of Fig.  2 may use system 10 to determine and / or list any findings that may result from the full evaluation of the records and / or other analyzes.  The full evaluation of the records may have any recommended treatments and / or procedures indicated by oral examination, panoramic and / or 3D film analysis and / or cephalometric and / or 3D film analysis.  Thus, system 10 and / or method 100 can provide initial and full evaluation of records and / or analysis of premature deciduous dentition of the patient from three years of age to five years.  [00110] As a result of the initial assessment and / or full assessment of the records, an appliance may be recommended for patient treatment as part of an overall treatment plan.  For example, system 10 may have information in database 55 relating to the apparatus and / or whether the apparatus may be indicated for a particular condition.  Fig.  5 illustrates a collection of accessible information relating to recommendations on CPU devices 20.  In one embodiment, CPU 20 may access the information of Fig.  5 in database 55.  Fig.  5 may list patient symptoms, the most applicable device for patient symptoms and / or the recommended uses of the device.  Several habits and teen gadgets can be listed.  In particular, certain handsets may be listed by name.  For example, the Nite-Guide® device can be used at night for certain problems.  Thus, CPU 20 of system 10 may access database 55 to determine an appropriate device for the patient.  As shown in Fig.  2, step 120 illustrates Program B of method 100.  Program B may be designed for children and / or patients ranging from five years old to seven years old.  Program B can be configured to refer to the dentition and / or oral development of patients in this range.  In particular, patients in this age range may have transitional teething.  Thus, Program B may correlate with the patient's initial assessment and / or any other tests with the patient's specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain assessments may not be indicated for the Program B age group.  However, other assessments may be critical in the patient's current state of development.  To this end, Program B may be carried out as follows.  In one embodiment, any of the following problems may require a treatment recommendation and / or full evaluation of the records shown in step 125 of Fig.  2.  The problems may be as follows: 1.  Crowding / spacing where length analysis of a lower and upper arch can be performed to determine if the patient may be a candidate for treatment.  Other problems, such as, for example, space-shortened dislocated teeth, missing teeth, and various other problems, can be examined and noted by the practitioner.  2.  Overbite larger than one and a quarter mm and / or an open bite of any severity.  3  Overlap greater than three mm and / or a Class III ratio of any severity including zero mm, which may be an end-to-end ratio or pseudo TIT Class.  4  Crossbites of any severity 5.  TMJ having any two symptoms except for limited openness 6.  Habits such as thumb sucking, thumb sucking, swallowing, speech problems and / or mouth breathing 7.  Suspicious Sleep Disordered Breathing Problems 8.  Narrow Upper Arch System 10 and / or method 100 can generate the document for the patient.  The document can summarize if any of the above eight items may be problems that may be considered beyond normal.  The document may also explain why full evaluation of records and / or probable treatment may be recommended.  The document may contain the required treatment time, patient liability, any fees involved, likelihood of success and any possible recurrence.  The document may have images that may illustrate what teeth may look like without any treatment.  The CPU 20 may generate and / or print the document for the patient's parent with findings for the parent to consider and / or study.  For example, the document may be configured as shown in Fig.  6  The document can be generated after the initial evaluation 105 is performed at step 120 of method 100 Program B and before step 125, where the evaluation of the total records can be conducted.  In addition, the professional, dental assistant or hygienist may examine the patient and indicate on their monitor their answers.  For example, the exam that can determine if the teeth present can be only deciduous, except for the first permanent molars.  If so, the examination can determine if the lower deciduous incisions can be straight without crowding and no spacing.  The examination can determine if any permanent teeth may be present.  If so, the practitioner can examine the patient and indicate the permanent teeth on the dentition chart 200 of monitor 35, [00116] The practitioner can also determine whether the upper and / or lower incisions, deciduous or permanent, may be tortuous.  If not, the practitioner can examine the patient and indicate if any primary teeth may be missing and may indicate missing teeth on the dentition chart 200.  In addition, if any teeth are missing, the practitioner may examine the patient and / or may indicate whether the space can be partially or completely closed.  The practitioner can determine if any permanent teeth may be erupting through the tissue and / or may have erupted completely.  [00117] The practitioner may also perform a caries check if required by a school, for example.  The teething chart 200 may be completed with a separate document indicating the number of suspicious cavities present for the patient on a separate sheet.  Teeth that may be suspected of having caries can be indicated on the dentition chart 200.  As a result, the patient may need a visit to a dentist for treatment.  The practitioner can examine the patient further and indicate on the monitor 35 his responses.  For example, the provider can determine if the patient may have an open bite.  If so, the provider can determine if the open bite may be due to a habit and / or may be skeletal.  In addition, the provider can determine if the patient may have a Class III problem, a pseudo Class III end-to-end problem, and / or a skeletal Casse III problem.  Also the practitioner can determine if the patient may have any anterior and / or posterior crossbites or a narrow palate.  The practitioner can further examine the patient and enter their responses with UI 30.  For example, the exam may determine if the patient may have TMJ.  Examination may involve checking the following TMJ tissues: a) sporadic or frequent clicking b) frequent or infrequent pain and / or headache c) opening deviation or difficulty opening d) difficult chewing e) limited opening with only two fingers [ 00120] The practitioner can also examine the patient further and can enter their responses with UI 30.  The exam can determine if the patient may have certain habits, for example.  The exam may check for the following habits: a) problems with swallowing and / or thrusting b) mouth breathing at night only or during the day and night c) speech problems, for example a tightness or difficulty understanding patient's speech d) thumb sucking and / or finger sucking at night only or during the day and night [00121] Professional can scan dentition, clogged face profile and toothed front face obstructed.  The practitioner may observe a large frontal smile and a wide open front mouth that may show the upper and lower incisal edges.  System 10 can identify several reference marks after the trader has swept the dentition.  The CPU 20 can identify the reference marks by a scanned study orthopedic dentition mold or the practitioner can personally identify the reference marks manually.  Using the IC 40 stick 45 to scan the patient's mouth can provide a digitized dentition that can be more reliable, consistent and unbiased.  The following reference marks may be identified: (a) an upper incisal edge and / or a lower incisal edge of a central incision, which may be left or right, whichever may be lighter and straighter, the central incision may be deciduous or permanent if fully erupted b) mesial of the upper deciduous canines and / or lower deciduous canines c) mesial and distal of the upper and / or lower and lateral centrals, which are deciduous or permanent, if erupted d) tip of the cusp of upper canines and lower canines e) distal to deciduous canines and distal to second deciduous molars if posterior space is shortened due to loss of teeth and / or caries f) the center point of the occlusal surface of all maxillary molars and / or deciduous lower molars.  The CPU 20 can perform an analysis of the arch length of the lower incisal area and / or the upper incisal area.  For example, when only deciduous lower incisors may be present, lower arch length analysis may be performed.  The reference mark identified in reference mark d) above, that is, the deciduous canine tip to the other canine tip can be multiplied by a factor of 0.926, and four can be added to the result.  The final number may be the available space of the lower incision area.  Also system 10 and / or CPU 20 can measure the arcade curve between the canine mesial.  If only deciduous incisions are present, the mesial-distal widths of the four lower deciduous incisions may be subtracted from the available space calculated above to obtain any present spaces.  Gap spaces and / or crowding of deciduous incisions may determine if treatment may be recommended.  CPU 20 can access information in database 55 and compare measurements with information in database 55 to determine if treatment can be recommended.  The information may also indicate the incidence, future risk of malocclusion and / or prediction of crowding by a certain age for each measurement.  Such information may be provided to the patient's parent.  Also if a permanent lower incision is showing, CPU 20 can multiply the mesial-distal width of the lower central incision by four and add one to obtain the required space.  The available space minus the required space may equal an arc shortening, an arc overflow or it may be normal.  If any arch shortening greater than one mm may be present, treatment may be strongly recommended, regardless of what the upper one may be.  CPU 20 can access information in database 55 and compare measurements with information in database 55 to determine if treatment can be recommended.  When lower arch length analysis can be done and the first permanent lower incision or any number of lower incisions may have erupted through the canine, CPU 20 can access information in database 55 to obtain as much space as can be expected to occur. development, depending on which teeth erupted.  For example, database information may describe which teeth may have fully erupted at the time of the initial examination.  Information may also cite how much expansion can occur until about eight years of age.  Therefore, the calculation of the lower available space described above can be done by using the deciduous lower canine tip to the opposite canine tip on the other side, multiplied by the factor 0.926 with four added to the result.  The result may represent the expected expansion of the lower incision eruption.  However, the four mm may have to be changed because the added four may change, as each permanent tooth, which erupted completely, has reduced the value.  Therefore, CPU 20 can access other information from database 55.  [00127] For example, if both of the permanent power stations are fully disrupted, the other information may indicate that only one mm of future arch expansion can be left.  Thus, the available space formula can be calculated by using the deciduous lower canine tip to the opposite canine tip on the other side, multiplied by the factor of 0.926 with one added to the result, to obtain the lower available space.  Once the available space can be determined, the required space can be measured by the mesial-distal width of a lower permanent center, multiplied by four, with an added mm for both sides.  The required space can be subtracted from the available space.  The result may represent crowding with a negative number, excess with a positive number, or may be normal if the result is zero.  CPU 20 can access information in database 55 and can compare measurements with information in database 55 to determine if treatment can be recommended.  CPU 20 can access information in database 55 to obtain treatment parameters when lower crowding greater than seven mm is present and may indicate when a limited degree of further treatment is required.  Such additional treatment may use a burrow that can produce an extra three mm.  Such additional treatment may require additional fees, and CPU 20 may display the fee amount in the patient document.  Also database information 55 may provide extreme limits that may not be treated even with a damper and may recommend when a patient may require a specialist for fixed orthodontics.  In addition, information from database 55 can provide the total lower space that may be available by strong expansion and denudation of the deciduous lower molars to produce the total space that may be available for crowding correction.  If the Nite-Guide® appliance procedure is started at the correct time that the first lower permanent center breaks the tissue, seven mm of correction may be available with only the appliance.  If more crowding is present, the use of the damper may provide an extra three mm, so that the total possible space created with the Nite-Guide® device and the damper may be ten mm.  Values above eleven mm may be referred to a fixed orthodontic specialist.  In one embodiment, to calculate the appropriate size of the damper, a measurement may be made by CPU 20.  The CPU 20 may measure a two-mm distance from each other buccally opposite the mesiobucal cusp of the lower first molar or upper first molar to estimate the size of an upper damper.  Measurement can be done on the left or right side.  A measurement can be made from this point to the same point on the opposite side, two mm buccal from the center of the mesial buccal cusp, exactly around the arch, keeping the two mm measurement line away from the buccal and labial surfaces of the teeth at the margin. gingival  Measurement may be made at the most prominent and / or widest position of the buccal teeth lingually and slightly occlusally from the gingival margin.  If the upper incisors can be strictly obliquely labial, the measurement may be made at the gingival margin two mm labial to this gingival margin and not at the incisal edges of these upper incisions.  This measurement can be used for the appropriate damper size according to Fig.  17  In one embodiment, CPU 20 can compare the measurement obtained with information from database 55.  For example, Fig.  22 illustrates information regarding damper sizes.  The measurement may be within a certain range which may indicate the size of the damper size.  Actual damper size can also be provided in Fig.  22  [00132] In one embodiment, data regarding TMJ problems and TMD diagnostics can be used by system 10.  Certain symptoms may be incorporated into CPU 20.  For example, TMJ sounds can be recorded by system 10.  The frequency, amplitude and type can be sampled by a stethoscope-like device that can be placed over each TMJ.  When the patient opens and closes, the device can record crackling and cretitus sounds.  TMJ sounds can be recorded in normal occlusion, as well as an advanced position that can eliminate clicking sounds.  Recording can be repeated after a period of treatment to check progress and improvement.  [00133] Also the sound of the patient biting his teeth with each other can be recorded.  A solid one-tone noise or a multi-sounding noise, when closing teeth together, can determine if the occlusion can be well coordinated or may have various interference.  Areas of improper contact at occlusion may be located.  [00134] A video can be made of the patient's opening and closing movements.  Video can be digitally recorded.  A single straight line may be present in the opening and closing movements.  Several side excursions can be booked.  An image of the maximum jaw opening can be measured in mm and can be compared to normal and abnormal opening mouths, according to various ages, as listed in Fig.  23  In addition, CPU 20 can access information from database 55 and can compare measurements with information from database 55 to determine if a case can be corrected when several lower permanent items may be present.  Any crowded dentition of 6 1/2 mm to 10 mm crowding can be corrected, depending on which teeth have already erupted and whether the Nite-Guide® appliance can be used alone with extraction of the posterior deciduous molars or if an additional damper may be required.  In addition, the information in database 55 may provide the total lower space that may be available after several permanent items have already fully erupted.  The total inferior space may be the possible expansion due to the eruption of the permanent incisions, plus the extraction of the deciduous molars.  To obtain the projected crowding and / or spacing and treatment recommendations to be presented to the parent, the required space may be subtracted from the available space to obtain the degree of crowding or spacing present.  Database information 55 can be used to inform the parent about the condition of the patient's lower arch.  Although the lower arch may be primarily used for diagnosis, the CPU 20 may perform an analysis of the arch length of the upper incisor arch.  Upper arch length analysis can be performed in a similar manner to lower arch length analysis.  When only the upper incisions may be present, the analysis of the upper arch length may be performed.  The deciduous canine tip superior to the opposite deciduous canine tip on the other side can be multiplied by a factor of 0.9932 and seven can be added to the result.  The final number may be the available space of the superior.  The mesial-distal width of the inferior permanent central, if erupted, can be measured to obtain the approximate sizes of the upper permanent teeth.  For example, the size of the upper permanent central unit may be equal to the size of the lower permanent central incision multiplied by a factor of 1.61.  The size of the upper permanent lateral can be equal to the size of the lower permanent central incision, multiplied by a factor of 1.23.  The total required upper can be determined by adding together the upper permanent central item and the upper permanent lateral item and multiplying by two.  CPU 20 can access information in database 55 and can compare measurements with information in database 55 to determine the degree of expected future enlargement when several permanent teeth may already have erupted.  As with the lower arch calculation, several permanent incisions may be present with gradual reductions in the remaining space created by the total eruption of the upper permanent incisions.  The required space in the upper arch can be obtained in the same manner as above.  [00139] A lack of more than one mm of the upper permanent incisions may be strongly recommended for treatment.  One mm can be treated for aesthetics, but most parents do not want any crowding to be present in the upper arch.  However, the inferior may usually be the diagnostic arc to determine if treatment may be necessary.  Upper arch findings can be presented to the patient's parent.  If no permanent upper incision or permanent lower incision is partially showing through the tissue and upper and lower deciduous incisions are present, upper arch length analysis may be performed.  The upper available space can be determined by measuring the upper deciduous canine tip to the opposite deciduous canine tip and multiplying by a factor of 0.9932, with seven added to the result.  The final number may be the available space of the upper deciduous area.  The required space may be estimated and may be more difficult as no permanent lower central incision may be present for measurement initially.  However, treatment may not be started until a lower permanent incision is shown.  If all permanent lower incisions are present, the CPU 20 can perform arch length analysis by measuring the widths of the four lower permanent incisions and also by measuring the arch curvature of the lower canine mesial to the other. canine mesial area and subtracting the actual tooth size from the arch curvature, which may be equal to the space available for missing, excess or no crowding.  [00142] The analysis of the upper arch length can be done in a similar manner, except if there may be an overlap with the upper incisors or an advanced position.  The CPU 20 can position the curvature two mm prior to the curvature of the lower incisal arch and can measure the mesial distance of one upper canine to the mesial of the other canine to obtain the upper available space.  The required upper space may be obtained by measuring the width of the upper permanent central incision and multiplying it by 3,5262 or by multiplying the width of the lower permanent central incision by 5. 6776 either by 1.3385 or by multiplying the width of the canine greater than the canine by 1.0363.  The width of an upper permanent central unit may correspond to the width of the lower permanent central multiplied by the factor of 1.6082.  The width of an upper permanent sideline may correspond to the width of the lower permanent central multiplied by the factor of 1,2287.  The upper permanent lateral can also be determined by multiplying the upper central by the factor of 0.7631.  Therefore, if an upper side is pin-shaped or smaller, these side calculations can provide the value that a normal sized side should have, with curvature to make an undersized side appear normal.  System 10 may also calculate other dental conditions.  For example, overbite, defined by a vertical overlap of the front incisions, can be determined.  Overbite may be measured from a point on the incisal edge of the permanent upper or central deciduous to a point on the edge of the lower deciduous and / or permanent lower central incision located parallel to the occlusal plane.  This can provide a measure of overbite.  CPU 20 can access information from database 55 to obtain parameters for estimating future overbite and / or recommended treatment problems.  [00144] Open bite can also be measured.  Additional records may be recommended for any incidence of open bite, except for a skeletal open bite.  Open bites due to habits can also provide a strong indication of the evaluation of total records and / or possible treatment.  [00145] Overlap is defined by the horizontal distance from the permanent superior or central deciduous to the permanent inferior or central deciduous parallel to the occlusal plane.  The CPU 20 can measure the overlap of the incisal edge of the upper central incision to the incisal edge of the lower central incision, parallel to the occlusal plane.  CPU 20 can access information from database 55 to obtain parameters for estimating future overlap problems and / or for recommended handling.  In addition, a Class III relationship can be measured.  The Class III relationship may occur when the permanent upper or central deciduous as well as the other upper incisors may be behind the lower deciduous or permanent incision known as skeletal Class II or in an end-to-end relationship.  Pseudo Class III may occur when the lower jaw slides forward after contact in an end-to-end position.  [00147] System 10 can measure from the incisal edge of the lower deciduous or central permanent to the edge of the same deciduous or permanent incision of the superior plane to the occlusal plane.  Any end-to-end or Class III relationship, regardless of severity, may indicate a strong recommendation for registrations and / or the possibility of treatment.  [00148] Crossbites can be measured.  For example, the provider may indicate whether an anterior or posterior crossbite exists.  The CPU 20 may also determine the crossbite.  CPU 20 may access information from database 55 to indicate to the parent whether a crossbite may be present, the type of crossbite, front, rear or both and / or treatment recommendations.  TMJ problems may be indicated.  For example, the provider can report any TMJ issues, and a report for the patient's parent can be generated.  CPU 20 may access information from database 55 to indicate to the parent if TMJ may be present and / or treatment recommendations.  The practitioner may also determine the patient's habits and / or indicate any problem for the parent.  For example, thumb sucking habits, which can cause weak teeth, normal swallowing, narrow palate and mouth breathing, can be treated.  Speech problems may also require treatment.  Suspicious sleep disordered breathing may warrant a recommendation to contact a pediatrician and / or a sleep specialist.  In addition, the practitioner can examine the width of the upper arch to see if the upper arch may appear narrow.  The CPU 20 can locate points in the center of the posterior teeth, including the upper canine tips, the center of the premolars, the deciduous molars and the permanent molars.  CPU 20 can access information in database 55 for parameters to indicate upper arch width and abnormal values that can warrant expansion in a child patient.  If severe narrowing of the jaw is seen particularly with crowded incisions at six years to eight years, along with nasal breathing problems, a rapid palatal expansion apparatus may be recommended.  This appliance, with the same symptoms, can be recommended for up to twelve to fourteen years of age, with care taken if the sagittal-median suture has closed, particularly in women.  For men, the device may be recommended for patients from about fourteen years old to sixteen years old.  The CPU 20 may provide the document as shown in Fig.  6, with the findings for the parent to study.  The document can be produced at the beginning of the initial exam.  CPU 20 can summarize what may be considered beyond normal for any of the above eight items and briefly explain why evaluation of total records and likely treatment may be recommended, treatment time, parent and / or patient liability, the fees involved, possible success, any relapse and images of what the teeth might look like if no treatment is done.  The CPU 20 may present the findings for the patient's parent in the document, together with a document of the initial system diagnostic findings 10.  The document can summarize the various problems a child may have, namely crowding, overbite, overlap, crossbite, TMJ, suspicious sleep disordered breathing habits and problems, and a narrow upper arch.  Cross-bite information may be entered by the initial exam person or determined by the CPU 20, however, such symptoms as various habits present, or headaches, temporomandibular joint cracking, deviated opening, and difficulty chewing may be be introduced by the subject examining but printed by the CPU 20 in the same manner as crowding, overbite and overlap.  As a result, an initial examination may indicate to the patient and / or parent within about 10 minutes an unbiased, objective diagnosis with minimal variation and / or an analysis of the eight major components of malocclusion.  As a result, the patient and / or the patient's parent may have an extensive report regarding current problems with relative severity, incidence, future developmental predictions and what effect treatment may have in the future.  The patient and / or parent may have an understanding of dental problems and may be able to make an educated decision regarding the treatment options presented.  The CPU 20 may also provide the fees and extent of treatment for each condition for the patient.  The CPU 20 may provide relapse information and / or treatment stability information.  The CPU 20 document can summarize these factors as to whether the measurement may be normal or abnormal, the incidence of occurrence and the percentage risk of being a problem in a future time, such as at age twelve, at eighteen. years of age and / or some other age.  The document can provide what initially measured value can be expected to be in the future, if any treatment cannot be recommended, may be minimally recommended or may be strongly recommended.  The document may provide an indication of whether further analysis may be recommended and / or whether treatment may be recommended.  The document may provide remuneration for treatment, estimated length of treatment and estimated success of treatment.  If the patient or parent can decide to proceed with treatment, the patient may have the evaluation of the total records.  This analysis can have panoramic x-ray films and cephalometric x-ray films or a 3-D x-ray file obtained and analyzed by the CPU 20 program.  Other factors such as a problematic gummy smile, sleep problems that involve a parent questionnaire to fill in, involving several associated factors such as incidence of snoring, hyperactivity, attention deficit, restless sleep, poor school performance, night sleep, breathing through mouth, teeth grinding, bed wetting and a variety of other commonly associated problems, which may indicate disordered breathing and sleep apnea, tonsil and adenoid dilation, and speech problems can also be checked by the provider.  The trader may enter the information into CPU 20 for analysis and to produce an informative review of the various problems.  If necessary, problems may require consideration of orthodontic treatment or referral to a pediatrician or sleep specialist, for example.  Several other factors may be observed and / or reported by the practitioner, such as, for example, impacted or missing teeth, seen on x-ray films, mandibular body thickness, any evidence of root resorption, various measurements of a cephalometric film such as baseline measurement at points A and B and SNA, SNB, ANB, mandibular plane angle, elevated face measurements, and nasopharyngeal and oropharyngeal width and volume measurements.  If any canines that have been measured for a canine-to-canine distance can be moved from their normal position, labially, lingually or forward or posteriorly that adversely affect the curvature of the arch where the teeth can be located.  Any unusually shaped teeth, such as double incisions or midline ratios of undersized or pin-shaped upper lateral incisions.  Many of these reference marks can be tooth positions, presence or absence of multiple teeth, unusual tooth shapes and various reference marks, inclined and linear cephalometric measurements can be identified and measured by CPU 20 to eliminate variation caused by human error. identification.  As shown in Fig.  2, step20 illustrates Program B of method 100.  Method 100 may have the initial assessment and / or the evaluation of total records.  As shown in Fig.  2, step 125 of method 100 may be the evaluation of total records for a patient who may be within the age range for Program B.  In evaluating the total records for Program B, the practitioner can obtain two x-ray films.  For example, a patient's digital panoramic x-ray film and / or a lateral digital cephalometric x-ray film may be obtained.  Also a 3-D film can be obtained which can replace the patient's digital panoramic x-ray film and the lateral digital cephalometric x-ray film.  In evaluating the total records for Program B, the practitioner may perform an oral examination that can verify the patient's clear pathway.  The provider can mark a point on the patient's nose and the base of the patient's chin.  The provider can physically measure the distance at rest and again at occlusion.  In one embodiment, CPU 20 may also indicate the point over the nose and cheese and a scanned image may be obtained with stick 45, with the patient at rest and also in occlusion.  The CPU 20 can measure the distance and can subtract from each other to get the value of free path space.  Any patient with an excessive clearance clearance such as seven mm or more, for example, may be checked for lateral posterior tongue thrust and may require an additional removable appliance.  The CPU 20 may locate a point at the lower level of the upper lip and the line of gingival tissue in the crown of the upper central deciduous or permanent incision.  A measurement can be made of the gingival display value or gummy smile showing up during a big smile.  Any patient with a gummy smile of more than two mm may have a gummy smile at the age of twelve.  A gummy smile of three mm at six years old will have a gummy smile of one mm at twelve; however, the Nite-Guide device may be able to prevent three mm of a gummy smile.  Any deciduous two-mm overbite, for example, if added to the three-mm gummy smile, can avoid that gummy smile value.  Therefore, three mm of improvement added to the deciduous overbite can equal the value of the gummy smile that can be avoided.  For example, an improvement of 3 mm plus a deciduous overbite of two mm can equal a total of five mm of gummy smile, which can be avoided.  If a posterior crossbite is present, the practitioner can determine if the posterior crossbite can be a functional or dental crossbite.  The trader can enter the information into system 10 using UI 30.  CPU 20 may recommend one type of treatment.  For example, with a functional crossbite, bilateral expansion may be recommended.  With a dental cross bite an Occlus-o-Guide® appliance with a cross bite wire can be recommended.  [00164] The practitioner can analyze the panoramic x-ray film to determine if any unbroken permanent teeth may be missing.  The trader can indicate any missing teeth on the teething chart 200.  If teeth are missing, CPU 20 can determine if any specimens may be missing and / or if treatment may be possible.  If severe crowding greater than 4 mm may exist, a shock absorber with the Occlus-o-Guide® appliance may be used.  If crowding greater than 8 mm exists, the provider may refer the patient to a specialist for possible fixed treatment.  If several teeth are missing, CPU 20 can refer the patient to a specialist for fixed treatment.  If any teeth are erupting in the wrong position and / or have had root resorption, or if any cysts, abscesses, extra teeth and / or any other unusual problems are present, the provider may decide to remove the extra teeth and / or other treatments.  [00165] Professional can analyze cephalometric film / x-ray.  Several points of reference marks may be located by the CPU 20 and / or may be identified by the trader.  The following reference mark points can be located by CPU 20: basion, sella, nasion, points A, B, ANS, Menton, gnation, condilion, porion, orbitale, PNS, long axis of upper and lower central incisions.  Several measurements can be made of airway size at both distances from the uvula to the posterior wall of the nasopharynx and from the base of the tongue to the posterior wall of the oropharynx.  CPU 20 can access information in database 55 to compare these measurements with norms for normal and abnormal values.  The CPU 20 may indicate whether the airways may be normal or abnormal using information from database 55 and / or may recommend reasons for treatment.  In addition, standard cephalometric analyzes can be performed by CPU 20.  Also the practitioner can perform other analyzes such as Northwesem Reidel, Downs, Steiner, Sassouni, Harvold, Wits, Rickets, McNamara and / or others as desired.  Overbite and overlap can be measured in the same way as before and treatment can be recommended.  Adenoid tissue can be estimated if significantly swollen.  If the adenoid tissue is dilated, the patient may be referred to a specialist.  If the upper canine angulation is excessively abnormal, the provider may recommend a treatment procedure with a fixed orthodontic appliance.  [00167] The provider can determine the number of permanent incisal ruptured contacts observed prior to their eruption.  Typically, three or more indicate a strong recommendation for treatment.  For example, a broken contact may correspond to -1.1 mm crowding; two broken contacts can correspond to -1.7 mm; three broken contacts can correspond to -2.8 mm; four broken contacts may correspond to -4.0 mm; and five broken contacts can correspond to -5.1 mm crowding.  If any of the above problems in the final record evaluation indicates that the recommendation for treatment due to missing multiple teeth, root resorption, improper upper canine angulation, and / or impacted teeth cannot be corrected with a damper. and an Occlus-o-Guide appliance, ”the practitioner may refuse treatment and may recommend a fixed orthodontic appliance treatment procedure.  In the evaluation and total records, the practitioner can determine the skeletal age of the patient and can know the chronological age of the patient.  CPU 20 can calculate the patient's predicted height using information from database 55 and can also predict expected height growth each year.  The percentage increase in height for each following year can also be accessed from database 55 by CPU 20.  The percentage multiplied by the predicted height can give the height increase for each year to maturity.  In addition, the patient profile may be oriented in the profile template analysis shown in Figs.  15 and 16, employing the appropriate template according to the N-Me distance from the patient.  Certain areas of the profile may be abnormal, such as recessive lips, protrusive nose, receding chin, long vertical face, short upper lip, and / or long chin.  Such areas may be outside the template margins.  Normal profile features, such as the forehead and the top of the nose, can be maintained within the template margins.  The CPU 20 may provide a visual reconstitution of the patient profile within the template which may show what can ideally be corrected.  Appropriate treatment, such as jaw advancement, protrusive teeth retraction, face elongation and / or the like, may be recommended and may be observed to attempt to achieve appropriate treatment goals.  [00171] A report of any findings from the total record evaluation can be reported to the patient's parent as before.  The CPU 20 may generate a document for the patient's parent describing abnormal symptoms and treatment recommendations.  As shown in Fig.  2, step 130 illustrates Method C Program 100.  Program C may be designed for children and / or patients ranging in age from five years to seven years.  Program C can be configured to relate to the dentition and / or oral development of patients in this range.  In particular, patients in this age range may have mixed dentition.  Thus, Program C may correlate with the patient's initial assessment and / or exams for their specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain assessments may not be indicated for the Program C age group.  However, other assessments may be critical in the patient's current state of development.  To this end, Program C may be carried out as follows.  System 10 and / or method 100 may have the initial examination and / or assessment.  Evaluation of total records may also be required.  The patient may undergo the initial examination by the professional.  System 10 and / or method 100 may generate preliminary and / or initial assessment and / or diagnosis based on the patient's initial examination.  System 10 and / or method 100 may provide such assessment and / or diagnosis prior to the evaluation of the total records.  In one embodiment, any of the following problems may require a treatment recommendation and / or evaluation of the total records shown in step 135 of Fig.  2.  The problems may be as follows: 1.  Crowding / spacing where an analysis of the length of an inferior and superior arch can be performed to determine if the patient may be a candidate for treatment.  Other problems such as, for example, space-shortened dislocated teeth, missing teeth, and various other problems can be examined and observed by the practitioner.  2.  Overbite larger than one and a quarter mm and / or an open bite of any severity 3.  Overlap greater than one and a quarter mm and / or a Class III relationship of any severity including zero mm, which may be an end-to-end or pseudo Class III relationship 4.  Crossbites of any severity 5.  TMJ having any two symptoms except for limited openness 6.  Habits such as thumb sucking, swallowing, speech problems and / or mouth breathing 7.  Suspicious Sleep Disordered Breathing Problems 8.  Narrow upper arch System 10 and / or method 100 can generate the document for the patient.  The document can summarize if any of the above eight items may be problems that may be considered beyond normal.  The document may also explain why evaluation of total records and / or probable treatment may be recommended.  The document may contain the required treatment time, patient liability, any compensation involved, likelihood of success, any possible relapse.  The document may have images that may illustrate what teeth may look like without any treatment.  The CPU 20 may generate and / or may print the document to the patient's parent with conclusions for the parent to consider and / or study.  For example, the document may be configured as shown in Fig.  6  The document may be generated after the initial evaluation 105 can be performed at step 130 of Method C Program 100 and before step 135, in which the evaluation of the total records can be conducted.  In addition, the practitioner can examine the patient's dentition and can indicate the findings in a more detailed dentition chart 205, as shown in Fig.  4  For example, the provider can determine if the teeth present can only be deciduous, except for the first permanent molars.  If so, the practitioner can determine if the lower deciduous incisions can be straight without crowding and without spacing.  The practitioner can also determine if any permanent teeth may be present.  If so, the practitioner can examine the patient and indicate him on the teething chart 205.  The practitioner can also determine whether the upper central incisions and / or lateral permanent incisions, if present, can be lingually inclined.  The practitioner can also determine if the tips of the upper and lower canines may be in an improper position.  If so, the provider may indicate where the improper canine tip should be positioned.  The professional can determine if any permanent or deciduous teeth may be bent and / or missing and if there may be enough room for them.  The trader can indicate the observations on the teething chart 205.  In a similar manner to Program B, the trader may perform a caries check, an open bite check, a Class III relationship check, a cross bite check, a habit check and / or a teething check.  System 10 can identify several reference marks after the trader has scanned the dentition.  The CPU 20 may also identify reference marks by a scanned study teething mold or the practitioner may personally identify reference marks manually.  Using stick 45 or IC 40 to scan a patient's mouth can provide a digitized dentition that can be more reliable, consistent and unbiased.  The following reference marks may be identified: (a) an upper incisal edge and / or a lower incisal edge of a central incision, which may be the same tooth on the same side; b) mesial of the upper deciduous canines and / or lower deciduous canines or permanent canines, if erupted; c) mesial and distal of all four upper permanent incisions, if all are present, if not present, use of the permanent teeth that may be present in the mouth and the four lower permanent incisions; d) cusp tip of the upper and lower canines, if in the appropriate position.  If a canine may be in an improper position, mark the top in the appropriate position labially-lingually, not mesio-distally; and e) distal to the deciduous or permanent canines and distal to the upper and lower of the deciduous molars or mesials of the first permanent molar if the second deciduous molar is missing or has lost space.  The CPU 20 can perform an analysis of the length of the lower arch.  For example, the lower canine tip to the other lower canine tip may be multiplied by a database factor according to the patient's age and may be the available space of the lower incision area.  Also system 10 and / or CPU 20 can measure the space available to the lower permanent incisions by multiplying the mesial-distal width of the lower central pro four and adding one.  Also the widths of all four lower permanent incisions can be measured if all are present.  Depending on the patient's age, CPU 20 may access database 55 to predict future crowding, future risks, and treatment recommendations.  For example, age-specific information for the patient may be presented to the parent.  The CPU 20 may access database 55 for information on the mandibular treatment possibilities, to determine which crowding severities may be appropriate for the treatment and the associated fees that may be charged.  The information may be based on what teeth are present.  The information can provide multiple treatment possibilities, such as only using the Occlus-o-Guide® appliance; using the Occlus-o-Guide® appliance with extraction of both deciduous lower second molars; and using the Occlus-o-Guide® appliance with extraction of the lower first and / or deciduous lower second molars and using a shock absorber.  Database information 55 may also indicate the point at which the case may be too severe and may recommend a fixed orthodontic treatment procedure.  Further information from database 55 may provide treatment options when certain upper permanent items may be present.  In addition, information from database 55 may provide treatment options if both second deciduous molars are present; if only a second deciduous molar is present; and if both deciduous second molars are missing and the freedom of movement space has already closed.  Such a case may require an adult teething case of Ortho-T® braces.  [00182] Most cases can be diagnosed diagnosed as to whether it is the crowding of the lower arch and whether there may be enough room for successful treatment.  However, in some cases and the upper may be the determinant, the lower arch length analysis may be performed by the CPU 20 first.  If the case may be an acceptable case, CPU 20 may determine whether the analysis and / or result of the upper arch length may be acceptable or not.  If analysis of the lower or upper arch length may indicate that the case may be unacceptable, the provider may recommend a treatment procedure with a fixed orthodontic appliance.  The orthodontist may recommend fixed orthodontics.  The CPU 20 can perform an analysis of the upper arch length for the incisal area.  The first procedure can be to measure the tip of the upper canine to point of the other canine and multiply this measurement by a factor of 0.9932 to determine the upper available space.  The upper canines may need to be in the right position for a measurement of available space.  If the canine tip is in an abnormal position, the practitioner can enter the canine's own position into CPU 20 using UI 30.  To obtain the required upper space, several options may be available depending on the presence or absence of the upper permanent incisions.  An upper permanent incision may preferably be used to obtain the required space if the tooth is available to measure.  For example, the width of the upper permanent central item may be multiplied by a factor of 3.5212 to obtain the required upper space.  Also the sum of the widths of all four upper permanent incisions can be used to obtain the upper required space.  In addition, if no perpendicular upper incision is present, the width of the lower permanent central incision may be multiplied by a factor of 5.6776.  The required space can be subtracted from the available space to obtain the required space.  The degree of crowding that can be corrected may depend on whether the upper deciduous second molars are present, if one is present, or none is present, with the freedom of movement space closed.  When both deciduous maxillary molars are not present, the case can be diagnosed as an adult dentition in Program D for patients 12 to 18 years old.  CPU 20 can access information in database 55 to indicate the upper crowding severity that can be corrected when both deciduous upper molars are present.  CPU 20 can access information in database 55 regarding the amount of possible corrections with both deciduous upper molars and only one upper deciduous molar present.  The information may provide quantities that cannot be corrected.  If the upper permanent incisions and / or lower permanent incisions are slightly inclined, the appliance may tilt the teeth forward to increase the crowding correction by one to two mm.  The amount of correction may depend on whether a second upper deciduous molar and / or two upper second deciduous molars are present in cases with lingually inclined upper incisions.  Information can be presented to the patient's parent.  Database 55 may also provide information regarding the amount of possible corrections with both deciduous maxillary molars and / or with only one deciduous maxillary molar present.  The information may provide quantities that cannot be corrected.  The treatment may be with or without an additional apparatus such as a shock absorber.  If all four or less upper permanent incisions are fully erupted, all four upper permanent incisions and / or the erupted upper permanent incisions may be measured.  The upper required space may be the total mesial-distal widths of the four upper permanent incisions.  If any or all of the upper permanent incisions are in position, the required space may be determined by the dimensions of the upper permanent incisions rather than by the width of the upper permanent central incision.  System 10 may also calculate other dental conditions.  In one embodiment, CPU 20 may compare measurements with information from database 55.  For example, Figs.  13 - 16 illustrate information related to crowding, overbite and overlap.  For example, overbite can be determined.  CPU 20 can measure the overbite described in Program B.  CPU 20 may access information from database 55 to obtain parameters for estimating future overbite problems and / or recommending treatment.  Information can be given to the parent as in Program B.  An open bite, if present, may be measured according to Program B.  If the open bite is skeletal, the case may not be acceptable and may be referred for treatment and / or fixed orthodontic surgery.  CPU 20 may access database 55 for information that may indicate at what age various open bite severities may be appropriate for correction.  Generally, open bites caused by current or previous habits such as thumb sucking and / or improper swallowing cannot be recommended for treatment for patients over ten years of age.  Any patient with an open bite with an N-Me distance exceeding two S. D.  cannot be a candidate for treatment.  [00189] Overlap can be measured according to Prorama B.  The CPU can access information in database 55 to determine if treatment can be recommended according to the age of the patient.  The incidence of overlap, along with the other factors, may be present for the parent in a chart with the patient data.  Data on treatment time and retention time can be found in database information 55.  Casse III and Pseudo Class III malocclusions may be measured according to Program B.  Treatment for any crossbite may be indicated for patients from seven years old to twelve years old.  Pseudo Class III crossbites can easily be corrected from seven years of age to two years.  Skeletal Class III problems can be determined as in Program B.  Generally, any Class III skeletal problem, not exceeding 3 mm, can be minimized and / or prevented from becoming more severe with a Young Class III appliance, for example.  The bites can be observed by the professional as in Program B.  CPU 20 can access information in database 55 to determine if the width of the maxillary arch can be considered abnormally narrow.  If the width of the maxillary arch can be expanded, particularly if there may be problems with bite bite and / or upper respiratory respiration, treatment may be recommended.  TMJ problems can be identified as in Program B.  The same treatment recommendations may exist for the seven-to-twelve-year-old patient as for younger patients.  Database information 55, corresponding to the patient's age, can be used to estimate treatment recommendations to present to the parent.  TMJ problems can be fixed with removable appliances as long as an overlap and overbite exists.  When the patient opens and closes from an end-to-end position, symptoms such as clicking and difficulty opening may disappear.  If so, the appliance can be used.  Otherwise, the patient may be referred to a TMJ specialist.  Most cases can be treated with a removable appliance such as the Nite-Guide® appliance and Occlus-o-Guide® appliance.  Habits such as thumb sucking and / or finger sucking can be corrected.  However, abnormal swallowing may be difficult to correct in a patient older than ten years of age and may be referred for orthodontic treatment by a specialist.  Sleeping problems can be summarized as in Program B.  The CPU 20 may present the findings for the patient's parent on the initial chart, along with the system's initial diagnostic findings document 10.  An example of the findings document may be similar to that shown in Fig.  6  The document can summarize the various problems a child may have, namely crowding, overbite, overlap, crossbite, TMJ, sleep disordered breathing habits and problems, and a narrow upper arch.  The CPU 20 may print the document summarizing these various eight elements of the patient's dentition which may be from seven years old to twelve years old for the initial assessment.  Evaluation of total records may be conducted to determine problems beyond the initial examination.  For example, missing teeth, various inclusions, and improper eruption paths of arriving permanent teeth and / or the like may warrant an objection to premature mixed dentition therapy.  [00196] In one embodiment, system 10 and / or method 100 also encompasses the evaluation of Program C total records as shown in step 135 of Fig.  2.  As part of evaluating total records, the practitioner can take x-rays of the patient.  For example, x-rays may contain a patient's digital panoramic x-ray film, a digital cephalometric x-ray film and / or a 3-D x-ray film.  3-D x-ray film may be preferred since the details are clearer to see in such x-ray.  Imaging in the evaluation of total records may contain intraoral and / or facial photographs.  The practitioner may review the panoramic film and / or 3-D film, if available, as part of the overall record evaluation.  Panoramic film and / or 3-D film can be analyzed by system 10 and / or method 100.  For example, CPU 20 may analyze the panoramic film and / or 3-D film to ensure that all unbroken teeth are present.  The practitioner may also perform this review.  If any permanent teeth are missing, those missing may be graphed.  The relative placement of the dentition can be arranged in the dentition chart 205, as shown in Fig.  4  The erupted teeth can be indicated on the teething chart 205.  The practitioner may also obtain a left hand wrist and hand x-ray film for assistance in determining the patient's skeletal age.  [00197] The provider may perform an oral examination of the patient as part of the evaluation of total records.  The professional can check the free path space.  The CPU 20 may also measure the free path employing two face images.  The CPU 20 can analyze the panoramic film and / or the 3-D film to determine if all erupted teeth are present.  The professional can perform this task.  In addition, the practitioner can check unbroken teeth to determine if they can erupt in the right position.  The trader can determine any rotations.  System 10 can measure certain areas of the nasopharynx and oropharynx.  CPU 20 can access database 55 to determine if measurements can have any abnormalities.  The practitioner may not observe any root resorption and / or may check the size of the adenoids.  The trader can enter the information into system 10 using UI 30.  System 10 can determine the patient's skeletal age and can be used to determine the time for any required treatment to occur at various ages, including the onset of puberty.  For example, CPU 20 may access data such as the information shown in Figs.  1-9.  In addition, the practitioner may follow the same format as the Program B exam.  In addition, the CPU 20 may use the mesial-distal widths of the upper and / or lower incisions and may divide the upper total by the lower total to obtain the ratio.  The relationship may indicate whether the upper and lower incisions can be coordinated to provide optimal occlusion of the front teeth following correction.  An acceptable ratio of lower incisions to upper incisions for a male patient may be 73,735% and may be 74,1762% for a female patient.  The standard Bolton analysis for the male patient, which may total the six anterior teeth divided into the widths of the six lower anterior teeth, may be 78.4339% for the male patient and may be 78.125% for the female patient.  System 10 may provide the document to the parent and / or patient which may indicate problems observed initially and during registration evaluations.  The document may contain film information, the patient's skeletal age, predicted adult height and / or height growth each year to full maturity.  Also profile analysis, with the patient profile superimposed on profile templates, such as the profile template shown in Fig.  10 for a female patient.  A profile template corresponding to a male patient may also be provided and / or used as desired.  The document may have sample images of other similar cases with such problems as crowding, excessive overbite, overlap, open bite, and the like, which may show what various problems at twelve years of age might look like if no treatment is started.  [00202] A device may be recommended for the patient.  The size of the apparatus can be calculated by CPU 20 with access to database 55.  System 10 may also provide the document which can explain the initial data as well as any data discovered by x-ray records.  [00203] As shown in Fig.  2, step 140 illustrates Program D of method 100.  Program D may be designed for children and / or patients ranging from twelve years of age to eighteen years of age.  Program D can be configured to relate to the dentition and / or oral development of patients in this range.  In particular, patients in this age range may have premature permanent dentition.  Thus, Program D can correlate the patient's initial assessment and / or exams with the patient's specific age.  The correlated initial assessment may focus on the initial assessment of the patient's current state of development.  Certain evaluations may not be appropriate for the Program D age group.  However, other assessments may be critical in the patient's current state of development.  To this end, Program D may be carried out as follows.  System 10 and / or method 100 may have the initial examination and / or assessment.  Evaluation of total records may also be required.  The patient may undergo the initial examination by the professional.  System 10 and / or method 100 may generate a preliminary and / or initial assessment and / or diagnosis based on the patient's initial examination.  System 10 and / or method 100 may provide such assessment and / or diagnosis prior to the evaluation of the total records.  In one embodiment, any of the following problems may require a treatment recommendation and / or evaluation of the total records shown in step 145 of Fig.  2.  The problems may be as follows: 1.  Crowding / Spacing in which lower arch and upper arch analysis can be performed to determine if the patient may be a candidate for treatment.  Other problems such as, for example, space-shortened dislocated teeth, missing teeth, and various other problems can be examined and observed by the practitioner.  2.  Overbite larger than one and a quarter mm and / or an open bite of any severity.

3. Overlap greater than one and a quarter mm and / or a Class III ratio of any severity, including zero mm which may be an end-to-end or pseudo Class III relationship. 4. Crossbites of any severity. 5. TMJ having any two symptoms except limited opening 6. Habits such as, for example, thumb sucking, swallowing, speech and / or mouth breathing problems 7. Suspicious sleep disordered breathing problems 8. Narrow upper arch [00206] The system 10 and / or method 100 CPU 20 may generate the document for the patient. The document can summarize if any of the above eight issues are issues that can be considered beyond normal. The document may also explain why evaluation of total records and / or probable treatment may be recommended. The document may contain the required treatment time, patient liability, any compensation involved, likelihood of success, any possible recurrence, and images of what the teeth may look like without any treatment. The CPU 20 may generate and / or print the document for the patient's parent with findings for the parent to consider and / or study as shown in Fig. 6. The document may be generated after the initial examination. The practitioner can examine the patient and enter information in UI 30, which can display the information on monitor 35. For example, the examination can determine which teeth may be present and / or missing and may be indicated on the teething 205. The examination may determine if sufficient space for the tooth or teeth exists and / or if crowding may be present. In addition, the examination can determine if the central and / or upper lateral can be lingually inclined; if the tips of the canines may be in an improper position; and if any teeth can be rotated and / or out of alignment. The exam may provide a caries check if necessary as found in Program B. In addition, the exam may determine if the patient may have an open bite, an excessively long face, and / or a Class III problem. The exam may have the same TMJ check and / or Program B habit check. [00209] Any lower crowding can be determined by an analysis of the lower arch's arcade length. The sum of the widths of the four or six lower front teeth may correspond to the required space. The available space may be the circumference around the lower arch along the incisal edges of the four anterior teeth or six lower anterior teeth. The distance from the mesial from one canine to the other canine for arcade length analysis of only the incisors, or if canines can be included, the distance can be from distal from one canine to distal from the other canine. If crowding can only be in the incisal area, the shortest distance can be used between the canines. If the canines are also crowded, arch length analysis would include canines. In either case the measurement may be the available space of the lower arch. The required space can be subtracted from the space available to obtain the shortened, excessive or normal arch. Crowding and / or spacing may be compared with information in database 55, depending on the age of the patient. Information may be presented to the patient or the patient's parent. The analysis of the upper arch length can be done in the same way. Treatment for an arch shortening in the upper arch of half mm may optionally be recommended. Treatment for crowding of one mm or more may be recommended for a patient aged twelve to eighteen. Treatment possibilities for crowding and / or spacing for the upper and / or lower arch can be provided in database information 55. An analysis can be performed to determine whether upper and lower incisors can be be coordinated to produce an optimal incisional occlusion as in Program C. If the coordination ratio indicates, one arch may differ from the other, as the upper may be smaller due to the smaller upper sides, the estimated width of the sides may be obtained from database information 55. A compound can be added to the smaller sides to make the sides a normal size. In addition, the previous spacing can be corrected. If there is no overlap or a minimum overlap of up to two or three mm, the patient may need some bonding. If there is an overlap of four mm or more, the spaces can typically be closed using an Ortho-T® appliance. Also, overbites of any severity can be corrected as long as sufficient vertical growth (ANS-Me) can remain. Typically, one mm of lower face height growth may be required to stabilize each mm of overbite correction. Database 55 can provide information as to which overbite severity can be successfully corrected with minimal recurrence, as well as the degree of recurrence that can be expected according to the age of the patient. It may result in a more accurate estimate if the patient's skeletal age can be used instead of chronological age. The information may indicate how much vertical ANS-Me growth may be required for successful overbite correction without future recurrence. The information may also indicate the expected degree of recurrence that can typically occur in a treated overbite. Open bites at the age of twelve and above can be difficult to treat successfully. Therefore, such patients may be referred for fixed orthodontic treatment or surgery when appropriate. Overlap, according to the severity and age of the patient, can be assessed from database information 55. Also, the information may indicate which overlaps may be appropriate for treatment and the degree of recurrence that can be prevented. Mandibular prognathism, such as Class III and pseudo class III occlusions, may be indicated on initial examination. Generally, skeletal Class III malocclusions may not be appropriate after twelve years of age; however, smaller Class III cases of less than three mm may be helped by a Class III device that may be able to improve or at least minimize the severity of the problem. Pseudo Class III end-to-end occlusions can be corrected with the Ortho-T® appliance.

[00215] Crossbites may be correctable as long as space is available or may be provided, for example, with a damper for proper correction. TMJ problems can be treatable with the exception of closed-close and / or limited open problems. Information from database 55 can indicate whether growth continues to advance the jaw sufficiently to accommodate its forward advances. Also, the information may indicate the remaining growth to accommodate vertical changes. For example, if the jaw can be advanced three mm and opened three mm to correct cracking and opening deviation, then three mm of horizontal and vertical growth may be required to obtain a permanent result. This amount of growth may be obtained at any time up to fifteen years of age in a male patient, and at any time up to twelve years of age in a female patient from this vertical amount of three mm. Horizontal growth, on the other hand, can be achieved at any time up to seventeen full years in the male patient, and at any time up to fourteen full years in the female patient. If these quantities cannot be obtained, as in the case of an eighteen year old patient, the appliance may be needed indefinitely as a retainer. For example, the Ortho-T® appliance can be used as a retainer one night a week to prevent symptoms from recurring in the future. Habits, such as thumb sucking, can be corrected at any age. Mouth breathing can most easily be corrected at ages under ten and younger; however, after the patient has reached the age of twelve, habits may also be possible to correct. Enlargement of the amygdala and adenoid may be a frequent cause of mouth breathing. Thus, removal of the amygdala and / or adenoid followed by the use of an Ortho-T® appliance may be a successful treatment. Swallowing problems with tongue thrust can be difficult to successfully treat in patients older than ten years old and may be a contraindication to this form of treatment in patients twelve years of age or older. Sleep disordered breathing, not caused by apnea or hypopnea, can be successfully treated by widening the upper arch and / or advancing the jaw and tongue with a Habit-corrector® device (a trademark of Ortho-Tain). , Inc.) and / or with the Ortho-T® appliance. Increasing the upper arch may improve nasopharyngeal opening, while mandibular advancement may improve narrow oropharynx. Narrow upper arch widths can be analyzed. Upper arches that may be excessively narrow, which exceed abnormal limits, may be accompanied by respiratory problems, particularly those with nasopharyngeal narrowing. Full evaluation of cephalometric x-ray and / or 3-D film recordings may indicate that treatment can be done with upper arch expansion. The CPU 20 may provide the document for parents to summarize the findings on the initial examination regarding eight various elements of the patient's dentition. The patient may need full evaluation of the records with the three x-ray films to see if treatment can be recommended. Also, a determination of skeletal age and a prediction of the onset of growth spurt for puberty can be performed. In one embodiment, system 10 and / or method 100 may also encompass the full evaluation of Program D records, as shown in step 145 of Fig. 2. As part of the total evaluation of records, the practitioner can take x-rays of the patient. For example, x-rays may contain a patient's digital panoramic x-ray film, a digital cephalometric x-ray film, and / or a 3-D x-ray film. 3-D x-ray film may be preferred since details may be clearer to view on such an x-ray. The full record evaluation image formation may contain intraoral and / or facial photographs. The practitioner may review the panoramic film and / or 3-D film, if available, as part of the overall record evaluation. Panoramic film and / or 3-D film can be analyzed by system 10 and / or method 100. For example, the CPU can analyze panoramic film and / or 3-D film to ensure that all teeth that have not suffered eruption are present. The practitioner may also perform this review. If any permanent teeth are missing, missing teeth can be plotted. Relative placement of the teething can be arranged on the teething chart 205 as shown in Fig. 4. The erupted teeth can be indicated on the teething chart 205. [00221] The practitioner can take an x-ray film from his hand and left hand pulse as in Program C, to aid in determining the patient's skeletal age. The oral examination may involve a clearance check. The practitioner can mark a point on the nose and the base of the chin and can measure by hand the distance at rest and again in occlusion. The CPU 20 can also measure the distance and can take two photographs of the patient's face. The CPU 20 can also measure the PNS and long axis of the upper central incisors and lower central incisors of A, B, ANS, chin, gnathius, articular, porium, orbital. Also, various measurements can be made of airway size at two distances from the uvula to the posterior wall of the nasopharynx, and from the base of the tongue to the posterior wall of the oropharynx. The CPU can compare measurements to norms for normal and abnormal quantities, and can indicate whether the airway may be normal or abnormal. CPU 20 may access information in database 55 to determine whether to treat and / or the reason or reasons for treating. The CPU 20 can perform standard cephalometric analysis at any time. Such analyzes may include Northwestern Reidel, Downs, Steiner, Sassouni, Harvold, Wits, Rickets, McNamara or the like. Overbite and overlap can be measured, and treatment can be recommended according to database information 55. In one embodiment, CPU 20 can compare measurements obtained with information from database 55. For example, Figs. 17 and 18 illustrate overbite related information. In addition, Figs. 19-21 illustrate information related to crowding, overbite, and overlap, respectively. Adenoid tissue can be examined for swelling. If adenoid tissue is significantly swollen, the patient should refer to a specialist for surgical removal. The practitioner can estimate whether upper canine angulation may be normal or abnormal. If the angulation is excessively abnormal, the provider may recommend a treatment procedure with a fixed orthodontic appliance. The presence of other uncorrectable inclusions with the use of a shock absorber may require an orthodontist and / or fixed treatment. The practitioner can estimate the patient's skeletal age, which may be used instead of the patient's chronological age. Use of skeletal age may produce greater accuracy when using database information 55. Any recommended interceptor treatment within one year of the onset of the pubertal growth spurt should be postponed to the onset of the spurt. The information can provide overbite and overlap time, which can yield successful treatment with minimal recurrence due to lack of vertical or horizontal growth from six years to eighteen years old. Suspicious sleep problems for patients from twelve years to eighteen may result from suspected swollen tonsils and / or adenoids. Abnormal swelling may be referred to a pediatrician. If the patient snores three nights a week to seven nights a week, the patient can use the Ortho-T® appliance to prevent the jaw and tongue from moving laterally while sleeping. Any patient suspected of having apnea or hypopnea may have a night sleep study at home or report to a sleep specialist. If the patient breathes through the mouth, the practitioner can check if the patient can easily breathe through the nose. If so, the provider may refer the patient to a pediatrician for a respiratory analysis and / or night sleep study at home. If the patient has a deviated septum, polyps and / or the like, the provider may refer the patient to the ENT specialist. If the patient can easily breathe through the nose, the provider can provide the patient with the Ortho-T® device for night use and two hours of daily use if the patient can breathe through the mouth during the day. Narrow upper arch amplitudes can be analyzed. A rapid palatal expander may not be used or may be used with daily expansion checks at any time after the end of the pubertal outbreak, or even one year before the end of the outbreak, as shown in Figs. 7-9. The patient profile can be oriented on the profile model analysis shown in Fig. 10 with the appropriate model according to the patient's N-Me distance. Areas of profile that may be abnormal, such as recessive lips, protruding nose, receding chin, long vertical face, short upper lip, long chin, and the like, may be allowed to lie outside the model's margins. The characteristics of the normal profile can be kept within the margins of the model, such as the forehead and the top of the nose. The CPU 20 can provide a visual trace of the patient profile within the model that shows what can ideally be corrected. Appropriate treatment such as jaw advancement, protruding teeth retraction, face elongation and / or the like may be recommended. Treatments can be observed with a subsequent model profile check to see if treatment objectives can be achieved. The practitioner can determine the skeletal age of the patient and can use the chronological age of the patient. CPU 20 can calculate the patient's predicted height using information from database 55, and can predict expected height growth each year from the information. Height percentage increases can be used for each following year. The percentage multiplied by the predicted height can provide the height increase for each year to maturity. In addition, CPU 20 may provide images that may represent the problem and / or how the problem may appear in the future, if nothing can be done to correct the problem. The images may be printed with patient images and may be issued to the parent with the final letter to the parent with data similar to Fig. 6. The CPU 20 may compare the initial diagnosis for treatment and / or may indicate if any final evaluation problems of the records. Comparison may indicate that treatment with a shock absorber and Occlus-o-Guide® appliance may be ineffective due to multiple missing teeth, improper upper canine angulation, tight teeth and / or the like. If so, the practitioner may refuse treatment and may recommend a fixed orthodontic appliance treatment procedure. As shown in Fig. 2, step 150 illustrates Program E of method 100. Program E may be designed for patients ranging from eighteen to adulthood. Program E can be configured to relate the dentition and / or oral development of patients in this range. In particular, patients of this age range may have mature permanent dentition. Thus, Program E may correlate the patient's assessment and / or initial examinations with the patient's specific age. Correlated initial assessment may focus on initial assessment of the patient's current state of development. Certain evaluations may not be appropriate for the Program E age group. However, other evaluations may be critical in the patient's current state of development. To this end, Program E may be performed as provided hereinafter. System 10 and / or method 100 may have the initial examination and / or assessment. Full evaluation of records may also be required. The patient may undergo the initial examination by the professional. System 10 and / or method 100 may generate preliminary and / or initial assessment and / or diagnosis based on the patient's initial examination. System 10 and / or method 100 may provide such an assessment and / or diagnosis prior to full evaluation of the records. In one embodiment, any of the following problems may require a treatment recommendation and / or the full record evaluation shown in step 155 of Fig. 2. The problems may be as follows: 1. Crowding / spacing wherein a length analysis of the lower and upper arch can be performed to determine if the patient may be a candidate for treatment. Other problems, such as, for example, space-shortened dislocated teeth, missing teeth, and various other problems may be examined and indicated by the practitioner; 2. Overbite larger than 1.25 mm and / or an open bite of any severity; 3. Overlap greater than 1.25 mm and / or a Class III relationship of any severity, including zero mm, which may be an end-to-end or pseudo Class III relationship; 4. Crossbites of any severity; 5. TMJ having any two symptoms except for limited openness; 6. Habits, such as thumb sucking, swallowing problems, speech and / or mouth breathing; 7. Suspicious problems with disordered sleep breathing; 8. Narrow upper arch. System 10 and / or method 100 CPU 20 may generate the document for the patient. The document can summarize if any of the above eight items may be problems that may be considered beyond normal. The document may also explain why full evaluation of records and / or probable treatment may be recommended. The document may contain the required treatment time, patient liability, any compensation involved, likelihood of success, any possible recurrence, and which images the teeth may appear without undergoing any treatment. The CPU 20 may generate and / or print the document as shown in Fig. 6. The document may be provided to the patient's parent with findings for the parent to consider and / or study. This document can be generated after the initial exam. The practitioner can examine the patient and can enter information using IU 30. Information can be displayed on monitor 35. For example, the examination can determine that teeth are present and can be indicated on the dentition chart 205. The same exam that may have been performed in Program D for the patient aged twelve to eighteen can be done. The practitioner can examine the patient and classify the molars, and can indicate the class on the 205 teething chart. The examination can determine if the midline is off. In addition, the examination can determine if the patient has posterior spacing greater than two mm. Any lower crowding can be determined by a lower arch length analysis. The sum of the widths of the four or six lower front teeth may be equal to the space required. The available space may be the circumference around the lower arch along the incisive edges of the four anterior teeth or the six lower anterior teeth. The mesial distance from one canine to the other canine by an arcade length analysis of only the incisors, or if canines can be included, the distance can be from one canine's distal to another canine's distal. If crowding is only in the starting area, the shortest distance can be used between the canines. If the canines are also crowded, arch length analysis will include canines. In either case the measurement may be the available space of the lower arch. The required space can be subtracted from the available space to obtain the normal shortening, overflow or arch. Crowding or spacing can be compared with database information 55, depending on the age of the patient. The information may be presented to the patient or the patient's parent. [00240] The analysis of the upper arch length can be done in the same way. Treatment for any upper arch shortening, which may be up to half a mm, may be optionally recommended, while crowding of one mm or more may be recommended for a patient from twelve to eighteen years of age. Treatment possibilities for crowding and spacing for the upper and / or lower arch can be provided by database information 55. An analysis can be performed to determine whether upper and lower incisors can be be coordinated to produce an optimal incisional occlusion as in Program C. If the coordination relationship indicates that one arch may differ from the other, as the upper may be smaller due to the smaller upper sides, the estimated width of the sides may be obtained. 55. A compound can be added to the smaller sides to make them of a normal size. In addition, the previous spacing can be corrected. If there can be no overlap or a minimum overlap of up to two or three mm, the patient may need some bonding. If there can be an overlap of four mm or more, the spaces can typically be closed using the Ortho-T® appliance. Successfully corrected eighteen-year-old overbites cannot depend on vertical facial growth, as there may be no remaining growth. Overbites of about four mm may be corrected, but fifty percent may recur. However, correction may be recommended if there is a TMJ problem. Therefore, if a patient has an overbite problem that may exceed four or five mm, the patient may be informed that the overbite may not correct successfully and / or may recur. Overlap may have the same restrictions as overbite and may experience the same recurrence as overbite. Open bites and Class III malocclusions may be contraindicated and may not be recommended for this form of treatment, and may be referred for fixed orthodontics or surgery. Fixed orthodontics may involve capping or extraction of a lower incisor or premolars. Mandibular recoil surgery in Class III cases exceeding 3 mm may be recommended. Orthodontically treated open bites may be a problem and may involve myofunctional therapy, which may result in significant open bite closure prior to any onset of fixed and / or surgical orthodontic correction. TMJ problems can be minimized with mandibular advancement and / or overbite reduction and may also involve eruption of the posterior teeth. If this eruption does not occur within two years, a strong eruption with fixed appliances may be required. Lifetime retention may be required, such as night wear, one night a week, with the same Ortho-T® appliance used for correction. Habits, such as thumb sucking, can be corrected, often with some sections of a fixed antisuction device. Mouth breathing can also be helped, particularly at younger ages. Swallowing habits may be more difficult, and may be a contraindication in later ages. Sleep disordered breathing may be strongly associated with apnea, hypopnea, and snoring. The patient may require a night sleep study at home. If apnea and hypopnea can be ruled out, a cephalometric analysis may be recommended. Narrow upper arch widths can be analyzed.

Excessively narrow upper arches, which may exceed abnormal limits, may be accompanied by breathing problems. If the patient breathes through the mouth and / or has difficulty breathing through the nose, treatment may be recommended. However, rapid palatal expansion should not be used at this age. The CPU 20 may provide the document for the parent to summarize the findings on the initial examination, similar to the data presentation of Fig. 6. The patient may require full evaluation of the records with the three x-ray films to verify that Treatment may be recommended. In one embodiment, system 10 and / or method 100 may also encompass the full evaluation of Program E records, as shown in step 155 of Fig. 2. As part of the total evaluation of records, the practitioner can take x-rays of the patient. For example, x-rays may contain a patient's digital panoramic x-ray film, a lateral digital cephalometric x-ray film, and / or a 3-D x-ray film. 3-D x-ray film may be preferred, as details may be clearer to observe on such an x-ray. The full record evaluation image formation may contain intraoral and / or facial photographs. The practitioner may review the panoramic film and / or 3-D film, if available, as part of the overall record evaluation. Panoramic film and / or 3-D film can be analyzed by system 10 and / or method 100. For example, CPU 20 can analyze the panoramic film and / or 3-D film to ensure that all teeth that no rash may be present. The practitioner may also perform this review. If any permanent teeth are missing, missing teeth can be plotted. Relative placement of the dentition can be arranged on the dentition chart 205 as shown in Fig. 4. The erupted teeth are indicated on the dentition chart 205. The practitioner may perform an oral examination of the patient as part of the dentition. total evaluation of records. The oral exam may be the same as described in Program D. An appliance may be recommended for the patient. The size of the apparatus may be calculated by the CPU 20 by accessing information from database 55. System 10 may also provide the document which can explain the initial data as well as any data reported by the x-ray records. In one embodiment, an orthodontist may employ system 10. CPU 20 may be programmed to match his own preferences. For example, the orthodontist may indicate desired treatment parameters, such as a treatment variation for overbite, overlap, and crowding. System 10 may provide data to the orthodontist for his personal treatment philosophy, such as when extracting teeth to provide space and when expanding the arches and / or the like. Also, various treatment possibilities, such as premolar extraction, incisors, molars, Herbst appliance, Twin-Block, rapid palatal expander, quad-helix, Damon, Frankel, Bionator, Activator and the like, can be programmed to CPU 20. The orthodontist may indicate the severity and conditions under which such appliances may be recommended and / or used. The CPU 20 can categorize results based on recommendations that may be helpful, and / or save time for the orthodontist. Such treatment parameters can be programmed for each age group that the orthodontist can treat, such as the three age groups, namely: a) mixed dentition, for patients from eight to twelve years old, b) early adult dentition, for patients twelve to eighteen years old, and c) the last adult dentition. Orthodentists may also be interested in early deciduous and transitional dentition. In particular, the orthodontist may indicate which treatment possibilities may be important for correction of patients with mixed dentition, such as crowding and / or spacing, overbite and / or open bite, overlap and / or Class III relationship, bites. cross-sections, TMJ disorders, habits such as thumb sucking, swallowing, mouth breathing, language problems, suspicious sleep disordered breathing, narrow upper arch, canine inclusions and / or other inclusions, multiple missing teeth and / or hooked teeth, erratic posterior eruption and / or the like. In addition, embodiments of system 10 and / or method 100 may provide information and / or data for estimating device sizes that are graded into dentition and / or arch sizes. Apparatus available from any manufacturer can be estimated using system 10 and / or method 100. In addition, various types of apparatus can be manufactured from data obtained by system 10 and / or method 100. Apparatus can be manufactured using stereolithography and / or other methods. Also, embodiments of system 10 and / or method 100 may provide information and / or data to recommend cement strip sizes on the patient's teeth. System 10 and / or method 100 may provide information and / or data to determine appropriate bracket angles for the patient's teeth. In addition, embodiments of system 10 and / or method 100 may provide information and / or data to determine the patient's skeletal age by hand x-ray film, and to predict future growth and / or to predict the moment of growth spurts. Furthermore, the present invention is not limited to the specific arrangement of the components illustrated in the figures. It is to be understood that various changes and modifications of the presently preferred embodiments described herein will be apparent to those having common skill in the art. Such changes and modifications may be made without departing from the spirit and scope of the present invention, and without diminishing its concomitant advantages. It is therefore intended that such changes and modifications be encompassed by the appended claims.

Claims (15)

Method for determining an orthodontic diagnostic analysis of a patient, comprising: locating points in a patient's mouth with an imaging device, wherein the imaging device locates the dimensions of all teeth inside the mouth and generates image data of the points inside the mouth; transferring the imaging data to a central processing unit, which has access to a database having information associated with orthodontic conditions; obtain measurements associated with selected points and dentition within the patient's mouth, wherein the central processing unit generates the measurements employing the imaging data; predict patient orthodontic conditions based on measurements and database information, where the central processing unit provides predictions based on imaging data and database information; and recommending treatments to the patient based on anticipated orthodontic conditions, where the central processing unit provides recommendations based on imaging data and database information. A method according to claim 1, further comprising: creating scanned images of various sizes of treatment apparatus and fitting the images of the apparatus onto a digitized model of the patient's dentition to test the fit of the apparatus for the patient. A method according to claim 1, further comprising: providing images indicative of future malocclusion to the patient if no treatment is initiated. A method according to claim 1, further comprising: determining the size of at least one nose size, imperfection of the face, a jaw recession or a protrusion of the jaw, upper jaw or jaw bottom of a patient profile image to compare the dimension with a standardized single-face template and to recommend treatment based on the comparison. A method according to claim 1, further comprising: predicting future degrees of symptoms to determine whether an abnormal symptom may self-correct, remain constant or increase in severity at a certain age. Method according to claim 1, characterized in that it comprises: measuring a curve of an arch in which the adult teeth will erupt by employing the central processing unit and adjusting the measurement based on statistical data for the expected expansion to determine the available space. A method according to claim 1, further comprising: multiplying the widths of the teeth in the mouth by various multiplication factors to obtain widths of other unbroken teeth within the mouth for occlusion. appropriate. A method according to claim 1, further comprising: evaluating various jaw positions, locating various points of incision overbite, employing the computer, locating a point on an incisal edge of an incision upper central and a lower central incision. measure the vertical distance with the upper and lower jaws in a closed position; and comparing the overbite to an accepted value to provide a treatment recommendation. A method according to claim 1, further comprising: measuring a point opposite a center of a first molar on a first side of the mouth to a point in the center of a first molar on a second side of a mouth , around a teething arch, to determine the recommended size of a damper for an appliance. A method according to claim 1, further comprising: providing data from the central processing unit for estimating device sizes in which devices are calibrated to dentition sizes. 11. Method, characterized in that it comprises: providing a plurality of diagnostic programs associated with characteristics of a developing patient's dentition; perform an initial patient assessment, corresponding to the patient's developing dentition, wherein the initial assessment utilizes an imaging device to locate points in a patient's mouth, where the imaging device generates data from Image; transferring imaging data to a central processing unit, where the central processing unit takes measurements associated with selected points in the patient's mouth and predicts future patient orthodontic conditions based on the measurements; provide a report of findings from the initial assessment to the patient, with treatment recommendations based on the findings. A system for determining an orthodontic diagnostic analysis of a patient, comprising: an imaging component configured to locate reference marks in a patient's mouth, wherein the imaging component locates the marks and generates image data by reference marks; a central processing unit having access to a database with information associated with orthodontic conditions, wherein the central processing unit receives the imaging data from the imaging component and generates measurements associated with reference and dentition marks patient's mouth and where the central processing unit predicts patient orthodontic conditions based on measurements and database information and recommends patient treatments based on predicted orthodontic conditions. System according to claim 12, characterized in that the central processing unit is programmed to correspond to a particular treatment philosophy of a user. System according to claim 12, characterized in that the central processing unit generates information about the incidence of orthodontic conditions and predictions of severity of orthodontic condition at a certain age of the patient. System according to claim 12, characterized in that the central processing unit provides images of untreated orthodontic conditions at future ages to be provided to the patient.